Provider Demographics
NPI:1649277526
Name:NACHMAN, JOY LISBETH (MA)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:LISBETH
Last Name:NACHMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ORLEY
Other - Last Name:NACHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1425 ECHO LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1940
Mailing Address - Country:US
Mailing Address - Phone:248-626-3350
Mailing Address - Fax:
Practice Address - Street 1:700 N OLD WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-1322
Practice Address - Country:US
Practice Address - Phone:248-647-9147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009706103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis