Provider Demographics
NPI:1992322689
Name:DICHTER, SUZANNAH (LCPC LCPAT)
Entity type:Individual
Prefix:
First Name:SUZANNAH
Middle Name:
Last Name:DICHTER
Suffix:
Gender:F
Credentials:LCPC LCPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 18TH ST NE APT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2080
Mailing Address - Country:US
Mailing Address - Phone:202-743-5535
Mailing Address - Fax:
Practice Address - Street 1:1240 18TH ST NE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2080
Practice Address - Country:US
Practice Address - Phone:202-743-5535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC9038OtherPRIVATE PAY