Provider Demographics
NPI:1508035866
Name:STUART, JOYCE PATRICIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:PATRICIA
Last Name:STUART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 BURGUNDY ST
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3023
Mailing Address - Country:US
Mailing Address - Phone:248-538-6888
Mailing Address - Fax:248-538-8824
Practice Address - Street 1:2085 BURGUNDY ST
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-3023
Practice Address - Country:US
Practice Address - Phone:248-538-6888
Practice Address - Fax:248-538-8824
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301006944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health