Provider Demographics
NPI:1548533458
Name:NAGORNIAK, JOY D (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:D
Last Name:NAGORNIAK
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 1:3 WASHINGTON CIR NW
Mailing Address - Street 2:SUITE 406
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2356
Mailing Address - Country:US
Mailing Address - Phone:571-308-3695
Mailing Address - Fax:888-355-0210
Practice Address - Street 1:3 WASHINGTON CIR NW
Practice Address - Street 2:SUITE 406
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2356
Practice Address - Country:US
Practice Address - Phone:571-308-3695
Practice Address - Fax:888-355-0210
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000318103TC0700X
MD4245103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical