MEDICARE: SANDRA LOITERSTEIN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	0810000934	VA

General Provider Information

NPI Number	:	1245353291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LOITERSTEIN PH.D.

Provider Business Mailing Address
First Line	:	5300 CHAMBERLIN AVE
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6645
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 LEE HWY
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-4233
Country	:	US
Telephone Number	:	703-524-5285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	01/04/2026

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