Provider Demographics
NPI:1063817492
Name:YUSA, JOY (EDD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:YUSA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 E CHAPMAN AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:714-703-9341
Practice Address - Street 1:531 E CHAPMAN AVE
Practice Address - Street 2:SUITE D
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1647
Practice Address - Country:US
Practice Address - Phone:310-560-8825
Practice Address - Fax:714-703-9341
Is Sole Proprietor?:No
Enumeration Date:2014-10-28
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist