Provider Demographics
NPI:1144558016
Name:WILLIAMS, LASHAUN ANNETTE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LASHAUN
Middle Name:ANNETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15803 CRABBS BRANCH WAY
Mailing Address - Street 2:FL 2
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2842
Mailing Address - Country:US
Mailing Address - Phone:202-361-5992
Mailing Address - Fax:
Practice Address - Street 1:15803 CRABBS BRANCH WAY
Practice Address - Street 2:FL 2
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2842
Practice Address - Country:US
Practice Address - Phone:202-361-5992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04659103TC0700X
DCPSY1000556103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical