Provider Demographics
NPI:1467505149
Name:SELDON, JOYCE LEONORA (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:LEONORA
Last Name:SELDON
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCLA JCCC-DCPCR
Mailing Address - Street 2:A2-125 CHS, BOX 956900
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-6900
Mailing Address - Country:US
Mailing Address - Phone:310-794-7576
Mailing Address - Fax:
Practice Address - Street 1:UCLA JCCC-DCPCR
Practice Address - Street 2:A2-125 CHS, BOX 956900
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6900
Practice Address - Country:US
Practice Address - Phone:310-794-7576
Practice Address - Fax:310-206-3566
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA96220OtherBOARD CERTIFICATION NUMBE