Provider Demographics
NPI:1932848348
Name:OSMER, LAUREL OSMER
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:OSMER
Last Name:OSMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5017 WHITE FLINT DR
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1036
Mailing Address - Country:US
Mailing Address - Phone:301-850-8925
Mailing Address - Fax:
Practice Address - Street 1:7918 JONES BRANCH DR STE 400
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3319
Practice Address - Country:US
Practice Address - Phone:571-206-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904005638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health