Healthcare Provider Details

I. General information

NPI: 1801724240
Provider Name (Legal Business Name): GUADALUPE SEPPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUPITA SEPPA

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 S SPRINGWOOD DR
SILVER SPRING MD
20910-2725
US

IV. Provider business mailing address

1606 S SPRINGWOOD DR
SILVER SPRING MD
20910-2725
US

V. Phone/Fax

Practice location:
  • Phone: 301-538-5252
  • Fax:
Mailing address:
  • Phone: 301-538-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberMD10274877437
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: