Provider Demographics
NPI:1962251108
Name:HAYWARD-WHITE, DASHUNNDA
Entity type:Individual
Prefix:
First Name:DASHUNNDA
Middle Name:
Last Name:HAYWARD-WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7902 TYSONS ONE PL UNIT 1905
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-5232
Mailing Address - Country:US
Mailing Address - Phone:803-260-4693
Mailing Address - Fax:
Practice Address - Street 1:7902 TYSONS ONE PL UNIT 1905
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-5232
Practice Address - Country:US
Practice Address - Phone:803-260-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical