Provider Demographics
NPI:1861798670
Name:PATEL, SHEETAL (PHD)
Entity type:Individual
Prefix:
First Name:SHEETAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 LANIER PL NW
Mailing Address - Street 2:#201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1660 LANIER PL NW
Practice Address - Street 2:#201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2969
Practice Address - Country:US
Practice Address - Phone:240-381-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000689103TC1900X
MD04946103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling