Provider Demographics
NPI:1598286122
Name:JOYCE E NEWCOMB, PHD, RN, PA
Entity Type:Organization
Organization Name:JOYCE E NEWCOMB, PHD, RN, PA
Other - Org Name:JOYCE E NEWCOMB, PHD, RN
Other - Org Type:Other Name
Authorized Official - Title/Position:PRES/SEC
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NEWCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-501-4677
Mailing Address - Street 1:4627 NW 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2193
Mailing Address - Country:US
Mailing Address - Phone:954-501-4677
Mailing Address - Fax:954-757-0911
Practice Address - Street 1:4627 NW 58TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2193
Practice Address - Country:US
Practice Address - Phone:954-501-4677
Practice Address - Fax:954-757-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3619101YM0800X
FLMT877106H00000X
FLRN953092163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty