Provider Demographics
NPI:1821145095
Name:JOYCE, NANCY CRAIG (MA)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:CRAIG
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1541
Mailing Address - Country:US
Mailing Address - Phone:925-286-6580
Mailing Address - Fax:925-938-5587
Practice Address - Street 1:19 ORCHARD CT
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1541
Practice Address - Country:US
Practice Address - Phone:925-286-6580
Practice Address - Fax:925-938-5587
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA223304OtherMHN