Provider Demographics
NPI:1174846141
Name:VALKO, JOY A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:A
Last Name:VALKO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:A
Other - Last Name:PREPEJCHAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:650 DAKOTA ST STE A
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60012-3744
Mailing Address - Country:US
Mailing Address - Phone:815-455-6000
Mailing Address - Fax:815-206-2822
Practice Address - Street 1:650 DAKOTA ST STE A
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60012
Practice Address - Country:US
Practice Address - Phone:815-455-6000
Practice Address - Fax:815-206-2822
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007842103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL071007842OtherSTATE LICENSE