Provider Demographics
NPI:1861081986
Name:RICHMOND, LEE JOYCE (PHD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:JOYCE
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LEE
Other - Middle Name:J
Other - Last Name:RICHMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PH D
Mailing Address - Street 1:8907 GREYLOCK RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1004
Mailing Address - Country:US
Mailing Address - Phone:410-363-1694
Mailing Address - Fax:
Practice Address - Street 1:8907 GREYLOCK RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1004
Practice Address - Country:US
Practice Address - Phone:410-363-1694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00657103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist