Provider Demographics
NPI:1982143442
Name:LERE, JOY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:LERE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 RICHMOND HWY # 1082
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-3044
Mailing Address - Country:US
Mailing Address - Phone:571-317-1058
Mailing Address - Fax:
Practice Address - Street 1:3301 RICHMOND HWY # 1082
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-3044
Practice Address - Country:US
Practice Address - Phone:571-317-1058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005289103TC0700X, 103TC0700X
DCPSY1001112103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical