Provider Demographics
NPI:1811223787
Name:HAYS, JOHANNA T (PSYD)
Entity Type:Individual
Prefix:MS
First Name:JOHANNA
Middle Name:T
Last Name:HAYS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:JOHANNA
Other - Middle Name:A
Other - Last Name:TROUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:27201 TOURNEY ROAD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:818-618-6053
Mailing Address - Fax:844-840-3196
Practice Address - Street 1:27201 TOURNEY ROAD
Practice Address - Street 2:SUITE 225
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:818-534-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program