Provider Demographics
NPI:1851997035
Name:LOHR, SUSAN HAYWOOD (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:HAYWOOD
Last Name:LOHR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:SUSAN
Other - Middle Name:MARIE
Other - Last Name:HAYWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:8300 FINCHLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-1973
Mailing Address - Country:US
Mailing Address - Phone:443-564-0218
Mailing Address - Fax:
Practice Address - Street 1:15480 ANNAPOLIS RD STE 202-148
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1852
Practice Address - Country:US
Practice Address - Phone:240-599-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC10336101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health