Provider Demographics
NPI:1750876157
Name:LICHTER, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LICHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANYA
Other - Middle Name:
Other - Last Name:LICHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1441 U ST NW APT 508
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3527
Mailing Address - Country:US
Mailing Address - Phone:760-585-5172
Mailing Address - Fax:
Practice Address - Street 1:2141 WISCONSIN AVE NW UNIT M
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2275
Practice Address - Country:US
Practice Address - Phone:202-643-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP001378235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist