Provider Demographics
NPI:1922651454
Name:LUZZI, JOANNA (PSYD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:LUZZI
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 1:3040 WILLIAMS DR STE 402
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:703-573-3573
Mailing Address - Fax:
Practice Address - Street 1:3040 WILLIAMS DR STE 402
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4618
Practice Address - Country:US
Practice Address - Phone:703-573-3573
Practice Address - Fax:703-573-3574
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist