Healthcare Provider Details

I. General information

NPI: 1801746540
Provider Name (Legal Business Name): LINDA JEAN PELHAM
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: LJ PELHAM

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 GEORGIA AVE STE 411
SILVER SPRING MD
20910-3713
US

IV. Provider business mailing address

8701 GEORGIA AVE STE 411
SILVER SPRING MD
20910-3713
US

V. Phone/Fax

Practice location:
  • Phone: 202-964-3957
  • Fax:
Mailing address:
  • Phone: 202-964-3957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: