Provider Demographics
NPI:1689728461
Name:CALDEIRA, JOYCE (NCSP,LEP,LMFT,LPCC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:CALDEIRA
Suffix:
Gender:F
Credentials:NCSP,LEP,LMFT,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 CAMINO DIABLO
Mailing Address - Street 2:SUITE 100-B
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3986
Mailing Address - Country:US
Mailing Address - Phone:925-250-3078
Mailing Address - Fax:925-954-6755
Practice Address - Street 1:2930 CAMINO DIABLO
Practice Address - Street 2:SUITE 100-B
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3986
Practice Address - Country:US
Practice Address - Phone:925-250-3078
Practice Address - Fax:925-954-6755
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44136106H00000X, 106H00000X
CA1496101YP2500X
CA050138706101YS0200X
CA2599103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool