Provider Demographics
NPI:1386836617
Name:DAYTON, CAROLYN JOY (PHD, LP, LMSW)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:JOY
Last Name:DAYTON
Suffix:
Gender:F
Credentials:PHD, LP, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3346 OXFORD W
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3969
Mailing Address - Country:US
Mailing Address - Phone:517-881-4465
Mailing Address - Fax:
Practice Address - Street 1:3346 OXFORD W
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3969
Practice Address - Country:US
Practice Address - Phone:517-881-4465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010966691041C0700X
MI6301014221103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical