Provider Demographics
NPI:1225270853
Name:WOODFORD, JOYCE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ANNE
Last Name:WOODFORD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:ANNE
Other - Last Name:HOPFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 SOUTHWIND PLACE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503
Mailing Address - Country:US
Mailing Address - Phone:785-776-5858
Mailing Address - Fax:785-776-6152
Practice Address - Street 1:225 SOUTHWIND PLACE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503
Practice Address - Country:US
Practice Address - Phone:785-776-5858
Practice Address - Fax:785-776-6152
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LP1734103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist