Provider Demographics
NPI:1134283922
Name:YORK, JOAN E (PHD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:E
Last Name:YORK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 SANHICAN DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5026
Mailing Address - Country:US
Mailing Address - Phone:609-396-4887
Mailing Address - Fax:609-858-2086
Practice Address - Street 1:138 SANHICAN DR
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-5026
Practice Address - Country:US
Practice Address - Phone:609-396-4887
Practice Address - Fax:609-858-2086
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100335700103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling