Provider Demographics
NPI:1114078102
Name:LUM, JOYCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:LUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:LUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1950 FRANKLIN BLVD # 44
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-2068
Mailing Address - Country:US
Mailing Address - Phone:541-335-1527
Mailing Address - Fax:
Practice Address - Street 1:2989 CHANDLER AVE STE A
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403-3241
Practice Address - Country:US
Practice Address - Phone:541-335-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1364103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist