Provider Demographics
NPI:1952486110
Name:BABBITT-PHILLIPS, JOYCE MARIE (MFT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:BABBITT-PHILLIPS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 BROOKSIDE AVE
Mailing Address - Street 2:SUITE J3
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6300
Mailing Address - Country:US
Mailing Address - Phone:909-224-3917
Mailing Address - Fax:909-335-5835
Practice Address - Street 1:1150 BROOKSIDE AVE
Practice Address - Street 2:SUITE J3
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-6300
Practice Address - Country:US
Practice Address - Phone:909-224-3917
Practice Address - Fax:909-335-5835
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33825106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist