MEDICARE: DR. ILANA STERMAN PSY.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	101YM0800X	Mental Health Counselor	LC1697	MD
2	103T00000X	Psychologist	PSY1001335	DC
3	103T00000X	Psychologist	0810005660	VA
4	101YM0800X	Mental Health Counselor	PRC13801	DC

General Provider Information

NPI Number	:	1629126917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ILANA STERMAN PSY.D.

Provider Business Mailing Address
First Line	:	1025 CONNECTICUT AVE NW STE 1000
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5417
Country	:	US
Telephone Number	:	202-309-2048
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 CONNECTICUT AVE NW STE 1000
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5512
Country	:	US
Telephone Number	:	202-309-2048
Fax Number	:

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	02/16/2018

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