Provider Demographics
NPI:1992017396
Name:TOLAN, JOY
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:TOLAN
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 1:661 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-2900
Mailing Address - Country:US
Mailing Address - Phone:508-879-4161
Mailing Address - Fax:508-879-7228
Practice Address - Street 1:661 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2900
Practice Address - Country:US
Practice Address - Phone:508-879-4161
Practice Address - Fax:508-879-7228
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor