Healthcare Provider Details

I. General information

NPI: 1679853709
Provider Name (Legal Business Name): VAUGHN ANDRE HOHREITER LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2011
Last Update Date: 08/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 NEBRASKA AVE NW
WASHINGTON DC
20016-2759
US

IV. Provider business mailing address

1620 ELTON RD STE 204
SILVER SPRING MD
20903-1760
US

V. Phone/Fax

Practice location:
  • Phone: 301-439-7191
  • Fax: 301-439-1169
Mailing address:
  • Phone: 301-439-7191
  • Fax: 301-439-1169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT000141
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT1202
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF1342
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: