Healthcare Provider Details

I. General information

NPI: 1548361694
Provider Name (Legal Business Name): JOYCE MIGDAL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N GLEBE RD STE 303
ARLINGTON VA
22207-3558
US

IV. Provider business mailing address

5103 45TH ST NW
WASHINGTON DC
20016-4044
US

V. Phone/Fax

Practice location:
  • Phone: 703-841-1290
  • Fax: 703-841-1315
Mailing address:
  • Phone: 703-841-1295
  • Fax: 703-841-1315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810-001952
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: