Provider Demographics
NPI:1497190169
Name:VISNICK, JOYCE D (MA, CCC S-LP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:D
Last Name:VISNICK
Suffix:
Gender:F
Credentials:MA, CCC S-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7715 FALSTAFF RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2759
Mailing Address - Country:US
Mailing Address - Phone:703-821-1394
Mailing Address - Fax:
Practice Address - Street 1:7715 FALSTAFF RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-2759
Practice Address - Country:US
Practice Address - Phone:703-821-1394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202001986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist