Provider Demographics
NPI:1659427839
Name:JENEY, JOSEPH ALEX (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALEX
Last Name:JENEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:ALEX
Other - Last Name:JENEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:415 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4201
Mailing Address - Country:US
Mailing Address - Phone:517-332-3939
Mailing Address - Fax:517-333-8777
Practice Address - Street 1:415 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4201
Practice Address - Country:US
Practice Address - Phone:517-332-3939
Practice Address - Fax:517-333-8777
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005699103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling