Provider Demographics
NPI:1477072536
Name:NOGUCHI, RYOICHI JOHN PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:RYOICHI
Middle Name:JOHN PAUL
Last Name:NOGUCHI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 21ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1101
Mailing Address - Country:US
Mailing Address - Phone:202-234-0903
Mailing Address - Fax:202-559-1449
Practice Address - Street 1:1729 21ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1101
Practice Address - Country:US
Practice Address - Phone:202-234-0903
Practice Address - Fax:202-559-1449
Is Sole Proprietor?:No
Enumeration Date:2017-09-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004915103T00000X
DCPSY1001239103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist