Provider Demographics
NPI:1366537888
Name:UGOLINI, JOANNE C (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:C
Last Name:UGOLINI
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 1:11410 PATRIOT LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3750
Mailing Address - Country:US
Mailing Address - Phone:301-980-3944
Mailing Address - Fax:
Practice Address - Street 1:11410 PATRIOT LN
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3750
Practice Address - Country:US
Practice Address - Phone:301-980-3944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3934103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist