Provider Demographics
NPI:1457662322
Name:STREETER, SATIRA SHARON (PHD)
Entity Type:Individual
Prefix:DR
First Name:SATIRA
Middle Name:SHARON
Last Name:STREETER
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 1:1526 HOWARD RD SE
Mailing Address - Street 2:3252 THEDADORE HAGANS DRIVE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4426
Mailing Address - Country:US
Mailing Address - Phone:703-505-8842
Mailing Address - Fax:202-889-4344
Practice Address - Street 1:1526 HOWARD RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4426
Practice Address - Country:US
Practice Address - Phone:202-889-4344
Practice Address - Fax:202-889-4344
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000211103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist