Wildgoose, Joycelyn

Wildgoose, Joycelyn is an sole proprietor health care provider with primary practice located at 58 Millard Ct , Sterling VA 20165-6018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wildgoose, Joycelyn can be contacted via phone (703) 433-2301.

Contact Information

Primary practice address
58 Millard Ct Sterling VA 20165-6018
Fax: (703) 433-2302
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000031 Virginia

Profile Details

NPI number 1497940225
LBN Legal business name Wildgoose, Joycelyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2007
Last updated Sep 14th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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