Provider Demographics
NPI:1164701959
Name:MARIER, JOY ANN (MED, MIM)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:ANN
Last Name:MARIER
Suffix:
Gender:F
Credentials:MED, MIM
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:ANN
Other - Last Name:NEWELL, CATHCART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1215 SW G ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-2544
Mailing Address - Country:US
Mailing Address - Phone:541-476-2373
Mailing Address - Fax:541-476-1526
Practice Address - Street 1:201 W MAIN ST STE 4B
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-2734
Practice Address - Country:US
Practice Address - Phone:541-414-1720
Practice Address - Fax:541-414-1724
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health