Provider Demographics
NPI:1083798185
Name:ROSS, JOYCE (DO)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:ROSS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:ROSS
Other - Last Name:DEPIETRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4334 YORUK FOREST LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2339
Mailing Address - Country:US
Mailing Address - Phone:704-295-1880
Mailing Address - Fax:980-202-0296
Practice Address - Street 1:4334 YORUK FOREST LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2339
Practice Address - Country:US
Practice Address - Phone:204-295-1880
Practice Address - Fax:980-202-0296
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2004013152084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry