Provider Demographics
NPI:1932266087
Name:NEWMAN, JOANNA
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20235 WATER MARK PL
Mailing Address - Street 2:
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5134
Mailing Address - Country:US
Mailing Address - Phone:703-433-2334
Mailing Address - Fax:202-452-0556
Practice Address - Street 1:2 PIDGEON HILL DR STE 450
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6148
Practice Address - Country:US
Practice Address - Phone:703-433-2334
Practice Address - Fax:202-452-0556
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health