Provider Demographics
NPI:1457440695
Name:SPIELMAN, LISA J (LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:J
Last Name:SPIELMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22438 MAISON CARREE SQ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-3114
Mailing Address - Country:US
Mailing Address - Phone:703-723-3822
Mailing Address - Fax:
Practice Address - Street 1:20905 PROFESSIONAL PLAZA
Practice Address - Street 2:SUITE 220
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147
Practice Address - Country:US
Practice Address - Phone:703-858-9841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional