Provider Demographics
NPI:1790721264
Name:MACVANE, JOY REED (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:REED
Last Name:MACVANE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 COBB TER
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5741
Mailing Address - Country:US
Mailing Address - Phone:919-928-9966
Mailing Address - Fax:
Practice Address - Street 1:12 COBB TER
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5741
Practice Address - Country:US
Practice Address - Phone:919-928-9966
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1652103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical