Provider Demographics
NPI:1083657175
Name:KAY, JOANNE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:H
Last Name:KAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3538 LAURELVALE DR
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-4136
Mailing Address - Country:US
Mailing Address - Phone:818-753-2759
Mailing Address - Fax:818-762-2893
Practice Address - Street 1:3538 LAURELVALE DR
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-4136
Practice Address - Country:US
Practice Address - Phone:818-753-2759
Practice Address - Fax:818-762-2893
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19687103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical