Provider Demographics
NPI:1134901226
Name:JOYNER, DONSHAE L SR
Entity type:Individual
Prefix:
First Name:DONSHAE
Middle Name:L
Last Name:JOYNER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 AVON CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-3586
Mailing Address - Country:US
Mailing Address - Phone:609-251-8582
Mailing Address - Fax:
Practice Address - Street 1:206 AVON CT
Practice Address - Street 2:
Practice Address - City:EDGEWATER PARK
Practice Address - State:NJ
Practice Address - Zip Code:08010-3586
Practice Address - Country:US
Practice Address - Phone:609-251-8582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00653500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional