Provider Demographics
NPI:1760570907
Name:JOYELL, ALFRED JAMES (LMFT LICENSED MARRIA)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:JAMES
Last Name:JOYELL
Suffix:
Gender:M
Credentials:LMFT LICENSED MARRIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:05708-2651
Mailing Address - Country:US
Mailing Address - Phone:203-753-8336
Mailing Address - Fax:203-753-7618
Practice Address - Street 1:1078 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:05708-2651
Practice Address - Country:US
Practice Address - Phone:203-753-8336
Practice Address - Fax:203-753-7618
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT410000169CT01OtherANTHEM BCBS OF CT