Healthcare Provider Details

I. General information

NPI: 1063008001
Provider Name (Legal Business Name): BRIDGETTE JOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3335 DUKE ST
ALEXANDRIA VA
22314-5219
US

IV. Provider business mailing address

2000 HUNTINGTON AVE
ALEXANDRIA VA
22303-1728
US

V. Phone/Fax

Practice location:
  • Phone: 703-552-2722
  • Fax:
Mailing address:
  • Phone: 202-615-6516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: