Provider Demographics
NPI:1457036691
Name:LUEHRING-JONES, PETER THEODORE (PHD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:THEODORE
Last Name:LUEHRING-JONES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 HAWTHORNE DR NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1041
Mailing Address - Country:US
Mailing Address - Phone:703-214-3747
Mailing Address - Fax:
Practice Address - Street 1:3143 HAWTHORNE DR NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1041
Practice Address - Country:US
Practice Address - Phone:703-214-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008179103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical