Provider Demographics
NPI:1083838205
Name:JAMES, JOETTE DEANNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOETTE
Middle Name:DEANNA
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:1401 BLAIR MILL RD
Mailing Address - Street 2:#1805
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4853
Mailing Address - Country:US
Mailing Address - Phone:301-587-8271
Mailing Address - Fax:
Practice Address - Street 1:14801 PHYSICIANS LN
Practice Address - Street 2:SUITE 173
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3922
Practice Address - Country:US
Practice Address - Phone:301-738-8930
Practice Address - Fax:301-738-8932
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPSY1000373103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist