Provider Demographics
NPI:1427203025
Name:COMSTOCK, JOANNE PATRICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:PATRICIA
Last Name:COMSTOCK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 ALBEMARLE STREET
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816
Mailing Address - Country:US
Mailing Address - Phone:301-229-8594
Mailing Address - Fax:
Practice Address - Street 1:6701 WISCONSIN AVENUE
Practice Address - Street 2:ST JOHN'S EPISCOPAL CHURCH-NORWOOD PARISH
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:202-449-3789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1767101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral