Provider Demographics
NPI:1982952123
Name:TERRY, JOY DRUMGOLD (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:DRUMGOLD
Last Name:TERRY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 CANVASBACK CT
Mailing Address - Street 2:
Mailing Address - City:NORTH DINWIDDIE
Mailing Address - State:VA
Mailing Address - Zip Code:23803-6831
Mailing Address - Country:US
Mailing Address - Phone:804-894-7295
Mailing Address - Fax:
Practice Address - Street 1:4410 CANVASBACK CT
Practice Address - Street 2:
Practice Address - City:NORTH DINWIDDIE
Practice Address - State:VA
Practice Address - Zip Code:23803-6831
Practice Address - Country:US
Practice Address - Phone:804-894-7295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004591103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical