Provider Demographics
NPI:1073283842
Name:STERN, LEE MEREDITH (LGPC)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:MEREDITH
Last Name:STERN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9213 POTOMAC SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-5602
Mailing Address - Country:US
Mailing Address - Phone:202-309-5909
Mailing Address - Fax:
Practice Address - Street 1:5272 RIVER RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1405
Practice Address - Country:US
Practice Address - Phone:202-309-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty