Healthcare Provider Details

I. General information

NPI: 1598670762
Provider Name (Legal Business Name): THYLAN SINGLETON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 1ST ST NE
WASHINGTON DC
20002-3361
US

IV. Provider business mailing address

4319 CIMARRON LN
FORT WASHINGTON MD
20744-1269
US

V. Phone/Fax

Practice location:
  • Phone: 202-442-5885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number70815
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: