Provider Demographics
NPI:1083827034
Name:WEBB, JOYCE LYNAE (PHD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:LYNAE
Last Name:WEBB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:LYNAE
Other - Last Name:MCEWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10222 W CENTRAL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212
Mailing Address - Country:US
Mailing Address - Phone:316-773-9525
Mailing Address - Fax:316-773-2012
Practice Address - Street 1:10222 W CENTRAL
Practice Address - Street 2:SUITE 202
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212
Practice Address - Country:US
Practice Address - Phone:316-773-9525
Practice Address - Fax:316-773-2012
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS301101YM0800X
KS804103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200438530AOtherKMAP