Provider Demographics
NPI:1548272032
Name:JARRETT -SAUNDERS, TERRY LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:LYNN
Last Name:JARRETT -SAUNDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TERRY
Other - Middle Name:L
Other - Last Name:JARRETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:16 INGRAHAM ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2430
Mailing Address - Country:US
Mailing Address - Phone:202-726-3046
Mailing Address - Fax:
Practice Address - Street 1:3636 16TH ST NW STE AG29
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1127
Practice Address - Country:US
Practice Address - Phone:202-265-3124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD203302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD201251101Medicaid
DC026395800Medicaid