Provider Demographics
NPI:1346425170
Name:JOYNER, MICHELE PATRICKA (MED)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:PATRICKA
Last Name:JOYNER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:PATRICKA
Other - Middle Name:MICHELE
Other - Last Name:JOYNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1312 W LYCOMING ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-2023
Mailing Address - Country:US
Mailing Address - Phone:215-457-6595
Mailing Address - Fax:
Practice Address - Street 1:112 N BROAD ST
Practice Address - Street 2:RM 821
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19102-1510
Practice Address - Country:US
Practice Address - Phone:215-568-0860
Practice Address - Fax:215-568-0769
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor