Souk, Joyce H.

Souk, Joyce H. is an sole proprietor health care provider with primary practice located at 12050 S Lakes Dr , Reston VA 20191-1220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Souk, Joyce H. can be contacted via phone (703) 860-5655.

Contact Information

Primary practice address
12050 S Lakes Dr Reston VA 20191-1220
Phone: (703) 860-5655
Fax: (703) 281-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904001235 Virginia

Profile Details

NPI number 1568441624
LBN Legal business name Souk, Joyce H.
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2006
Last updated Jul 29th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568441624 NPPES
Other 11527455 CAQH UNIVERSAL CREDENTIAL
Other A309 CAQH UNIVERSAL CREDENTIAL
MEDICAID 010195306 CAQH UNIVERSAL CREDENTIAL
Other 5851262 CAQH UNIVERSAL CREDENTIAL
Other 441854 CAQH UNIVERSAL CREDENTIAL

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