Provider Demographics
NPI:1023298841
Name:SYKES-MIESSI, JOAN ELIZABETH
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ELIZABETH
Last Name:SYKES-MIESSI
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 1:801 WEEKS ST
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-1626
Mailing Address - Country:US
Mailing Address - Phone:650-329-9938
Mailing Address - Fax:
Practice Address - Street 1:801 WEEKS ST
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-1626
Practice Address - Country:US
Practice Address - Phone:650-329-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical