Provider Demographics
NPI:1659755023
Name:MACPHERSON, JOY
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 EAST AVENUE
Mailing Address - Street 2:MS 9112
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550
Mailing Address - Country:US
Mailing Address - Phone:925-294-2161
Mailing Address - Fax:925-294-1248
Practice Address - Street 1:7011 EAST AVE
Practice Address - Street 2:MS 9112
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-9610
Practice Address - Country:US
Practice Address - Phone:925-294-2161
Practice Address - Fax:925-294-1248
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator