Provider Demographics
NPI:1518078377
Name:SCHOENHEIMER, JOYCE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ANNE
Last Name:SCHOENHEIMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SPRINGLOCH RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3548
Mailing Address - Country:US
Mailing Address - Phone:301-625-3355
Mailing Address - Fax:
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-681-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03520103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD741643OtherNCPPO
MD03520OtherSTATE LICENSE
MD479844000OtherMAGELLAN MIS#
MD7927287OtherAETNA AND AETNA HMO