Provider Demographics
NPI:1164458790
Name:DUPREE, JOYCE HUTCHENS (MEDPA)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:HUTCHENS
Last Name:DUPREE
Suffix:
Gender:F
Credentials:MEDPA
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:DELORES
Other - Last Name:HUTCHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MEDPA
Mailing Address - Street 1:4625 E BAY DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-5738
Mailing Address - Country:US
Mailing Address - Phone:727-535-3247
Mailing Address - Fax:727-535-4080
Practice Address - Street 1:4625 E BAY DR
Practice Address - Street 2:SUITE 301
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-5738
Practice Address - Country:US
Practice Address - Phone:727-535-3247
Practice Address - Fax:727-535-4080
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 3069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health