Provider Demographics
NPI:1679907141
Name:ERLANDSEN, JOYCE (BS)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:ERLANDSEN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 SEEM ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2637
Mailing Address - Country:US
Mailing Address - Phone:484-695-7799
Mailing Address - Fax:
Practice Address - Street 1:164 SEEM ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2637
Practice Address - Country:US
Practice Address - Phone:484-695-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000041103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst