Provider Demographics
NPI:1457467540
Name:SICHEL, JOYCE LINDA (PH D)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LINDA
Last Name:SICHEL
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 W COLLEGE ST 438
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3587
Mailing Address - Country:US
Mailing Address - Phone:917-329-3866
Mailing Address - Fax:817-329-6618
Practice Address - Street 1:1600 W COLLEGE ST 438
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3587
Practice Address - Country:US
Practice Address - Phone:917-329-3866
Practice Address - Fax:817-329-6618
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23285103TC0700X
NY009562-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00R04RMedicare ID - Type Unspecified