Provider Demographics
NPI:1912451048
Name:SERGENT, NATALIE DEANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:DEANNE
Last Name:SERGENT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 SARGENT RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2841
Mailing Address - Country:US
Mailing Address - Phone:202-650-6361
Mailing Address - Fax:202-250-6362
Practice Address - Street 1:4801 SARGENT RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2841
Practice Address - Country:US
Practice Address - Phone:202-650-6361
Practice Address - Fax:202-250-6362
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY20000037103T00000X
MD6702103T00000X
UT9502332-2501103T00000X
VA810007585103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist