Provider Demographics
NPI:1578767349
Name:JOY, JOYCE MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:JOY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S 2ND ST
Mailing Address - Street 2:STE 403
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2632
Mailing Address - Country:US
Mailing Address - Phone:509-457-8846
Mailing Address - Fax:509-248-3167
Practice Address - Street 1:6 S 2ND ST
Practice Address - Street 2:STE 403
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2632
Practice Address - Country:US
Practice Address - Phone:509-457-8846
Practice Address - Fax:509-248-3167
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000041291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical