Provider Demographics
NPI:1376789842
Name:FRATONI, JOYE LYNN (MA)
Entity Type:Individual
Prefix:MS
First Name:JOYE
Middle Name:LYNN
Last Name:FRATONI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JOYE
Other - Middle Name:LYNN
Other - Last Name:MYRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:307 29TH ST NE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-7048
Mailing Address - Country:US
Mailing Address - Phone:253-678-4303
Mailing Address - Fax:
Practice Address - Street 1:307 29TH ST NE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-7048
Practice Address - Country:US
Practice Address - Phone:253-678-4303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60500430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health