Provider Demographics
NPI:1336285048
Name:MULHAUSER, LYNDA C (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:C
Last Name:MULHAUSER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 GARRISON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1050
Mailing Address - Country:US
Mailing Address - Phone:202-966-6154
Mailing Address - Fax:301-907-0238
Practice Address - Street 1:4550 MONTGOMERY AVE
Practice Address - Street 2:SUITE 733N
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3304
Practice Address - Country:US
Practice Address - Phone:202-244-9567
Practice Address - Fax:301-907-0238
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD023531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical