Provider Demographics
NPI:1164659025
Name:PERSONNA-POLICARD, JOHANNE (MD)
Entity type:Individual
Prefix:DR
First Name:JOHANNE
Middle Name:
Last Name:PERSONNA-POLICARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOHANNE
Other - Middle Name:
Other - Last Name:PERSONNA-POLICARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:420 W LINFIELD TRAPPE RD STE 2300
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4276
Practice Address - Country:US
Practice Address - Phone:484-659-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4486192084N0400X
VA01012557252084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology