Provider Demographics
NPI:1295817526
Name:JOYCE, GERALD PATRICK (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:PATRICK
Last Name:JOYCE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 NEWCASTLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-4446
Mailing Address - Country:US
Mailing Address - Phone:708-865-8071
Mailing Address - Fax:708-865-8032
Practice Address - Street 1:1601 NEWCASTLE AVENUE
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-4446
Practice Address - Country:US
Practice Address - Phone:708-865-8071
Practice Address - Fax:708-865-8032
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL712246103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01672552OtherBCBS