Provider Demographics
NPI:1649483371
Name:DEPUE, JOANNE M (PHD)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:M
Last Name:DEPUE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:RIDICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:13490 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:22713-4606
Mailing Address - Country:US
Mailing Address - Phone:546-547-4588
Mailing Address - Fax:
Practice Address - Street 1:114 EAST EDMONSON ST
Practice Address - Street 2:PRECIOUS BLOOD CHURCH
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701
Practice Address - Country:US
Practice Address - Phone:540-825-4940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral