Provider Demographics
NPI:1437464484
Name:ROBERSON, JOYCE W (PHD, RN)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:W
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22306 CYPRESS PL
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-4088
Mailing Address - Country:US
Mailing Address - Phone:661-977-1316
Mailing Address - Fax:661-998-5342
Practice Address - Street 1:22306 CYPRESS PL
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-4088
Practice Address - Country:US
Practice Address - Phone:661-977-1316
Practice Address - Fax:661-998-5342
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-15
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23711103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical