Provider Demographics
NPI:1902043508
Name:SPRANG, CAROL ANN (RN, LCPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:SPRANG
Suffix:
Gender:F
Credentials:RN, LCPC
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:PINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN LCPC
Mailing Address - Street 1:6700 MELVILLE PL
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3208
Mailing Address - Country:US
Mailing Address - Phone:301-907-3377
Mailing Address - Fax:301-652-5052
Practice Address - Street 1:4405 E WEST HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4522
Practice Address - Country:US
Practice Address - Phone:301-907-3377
Practice Address - Fax:301-652-5052
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1692101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional