Provider Demographics
NPI:1275159584
Name:BRANDT, JOE ANN MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOE ANN
Middle Name:MARIE
Last Name:BRANDT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11706 MERCY BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1751
Mailing Address - Country:US
Mailing Address - Phone:912-927-7130
Mailing Address - Fax:912-920-3401
Practice Address - Street 1:11706 MERCY BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1751
Practice Address - Country:US
Practice Address - Phone:912-927-7130
Practice Address - Fax:912-920-3401
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY000709103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist