Provider Demographics
NPI:1942220363
Name:KLEIBER, JOYCE
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:KLEIBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N DARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2952
Mailing Address - Country:US
Mailing Address - Phone:610-344-7028
Mailing Address - Fax:610-344-0762
Practice Address - Street 1:125 N DARLINGTON ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2952
Practice Address - Country:US
Practice Address - Phone:610-344-7028
Practice Address - Fax:610-344-0762
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW006308L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7812569OtherAETNA
PA0643707000OtherMHS
PA1664602OtherPERSONAL CHOICE
PA739562GA4Medicare ID - Type Unspecified