1700076965 NPI number — MRS. NATALIE SALERA BONDY LPC

Table of content: MRS. NATALIE SALERA BONDY LPC (NPI 1700076965)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700076965 NPI number — MRS. NATALIE SALERA BONDY LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BONDY
Provider First Name:
NATALIE
Provider Middle Name:
SALERA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COHEN
Provider Other First Name:
NATALIE
Provider Other Middle Name:
SALERA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700076965
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
42253 MARBLE CANYON TERRACE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHBURN
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-932-6284
Provider Business Mailing Address Fax Number:
470-201-2335

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
42253 MARBLE CANYON TERRACE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHBURN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-932-6284
Provider Business Practice Location Address Fax Number:
470-201-2335
Provider Enumeration Date:
07/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  07010003542 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0701003542 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)