MEDICARE: DR. LISA HADLEY M.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	2084P0800X	Psychiatry Physician	MD487072C	PA
2	2084P0800X	Psychiatry Physician	25MA10730400	NJ
3	2084P0800X	Psychiatry Physician	MD-44001	IA
4	2084P0800X	Psychiatry Physician	D35521	MD
5	2084P0800X	Psychiatry Physician	292023-01	NY
6	2084P0800X	Psychiatry Physician	0101252733	VA
7	2084P0800X	Psychiatry Physician	C1-0027647	DE
8	2084P0800X	Psychiatry Physician	79434	CT
9	2084P0800X	Psychiatry Physician	MD040756	DC
10	2084P0800X	Psychiatry Physician	MD2016-0949	NM

General Provider Information

NPI Number	:	1659424406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA HADLEY M.D.

Provider Business Mailing Address
First Line	:	1808 T ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-7126
Country	:	US
Telephone Number	:	410-610-8756
Fax Number	:	202-379-3494

Provider Business Practice Location Address
First Line	:	1808 T ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-7126
Country	:	US
Telephone Number	:	410-610-8756
Fax Number	:	202-379-3494

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	09/12/2025

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Directions to “ DR. LISA HADLEY M.D.” Practice Location

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