Provider Demographics
NPI:1366502122
Name:HARVEY - BLACKWELL, JOY ESTHER
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ESTHER
Last Name:HARVEY - BLACKWELL
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 1:140 JONES ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3969
Mailing Address - Country:US
Mailing Address - Phone:415-776-2115
Mailing Address - Fax:415-776-3913
Practice Address - Street 1:140 JONES ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3969
Practice Address - Country:US
Practice Address - Phone:415-776-2115
Practice Address - Fax:415-776-3913
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health