Provider Demographics
NPI:1356798698
Name:BOIE, IOANA (PHD)
Entity type:Individual
Prefix:DR
First Name:IOANA
Middle Name:
Last Name:BOIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:IOANA
Other - Middle Name:
Other - Last Name:MARCUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1001 N RANDOLPH ST
Mailing Address - Street 2:906
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5602
Mailing Address - Country:US
Mailing Address - Phone:813-484-0374
Mailing Address - Fax:
Practice Address - Street 1:2705 W OX RD
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-3807
Practice Address - Country:US
Practice Address - Phone:813-484-0374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health