Provider Demographics
NPI:1245312941
Name:MARTER, JOYCE B (MA LCPC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:B
Last Name:MARTER
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:E
Other - Last Name:BRINKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 N MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 905
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601
Mailing Address - Country:US
Mailing Address - Phone:312-213-9324
Mailing Address - Fax:312-782-8276
Practice Address - Street 1:180 N MICHIGAN AVENUE
Practice Address - Street 2:SUITE 905
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601
Practice Address - Country:US
Practice Address - Phone:312-213-9324
Practice Address - Fax:312-782-8276
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X, 103T00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical