MEDICARE: DR. SANDRA J HOFFMAN HAIGHT ED 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	103TC0700X	Clinical Psychologist	1314	DC

General Provider Information

NPI Number	:	1629183074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA J HOFFMAN HAIGHT ED D

Provider Business Mailing Address
First Line	:	10814 LUXBERRY DRIVE
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3505
Country	:	US
Telephone Number	:	301-816-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 P ST NW STE 710
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-6917
Country	:	US
Telephone Number	:	202-833-1555
Fax Number	:	202-315-3133

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	05/08/2024

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