Provider Demographics
NPI:1598820870
Name:ORDMANDY, JOAN ODUM (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:ODUM
Last Name:ORDMANDY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38669 EUDORA LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:VA
Mailing Address - Zip Code:20158-3307
Mailing Address - Country:US
Mailing Address - Phone:540-931-5100
Mailing Address - Fax:540-338-0472
Practice Address - Street 1:512 HERNDON PKWY STE F
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5244
Practice Address - Country:US
Practice Address - Phone:703-689-0449
Practice Address - Fax:703-689-0443
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004146103T00000X, 246ZE0500X, 2472E0500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG