Provider Demographics
NPI:1235844937
Name:VANHALL, JOYCE A
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:VANHALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 SHADOW VIEW DR APT 430
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-4644
Mailing Address - Country:US
Mailing Address - Phone:541-915-9132
Mailing Address - Fax:
Practice Address - Street 1:2750 SHADOW VIEW DR APT 430
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-4644
Practice Address - Country:US
Practice Address - Phone:541-915-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health