Provider Demographics
NPI:1740366285
Name:JOYCE, DIANNE (PSYD LPC)
Entity type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:PSYD LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12417 CABOT MANOR CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141
Mailing Address - Country:US
Mailing Address - Phone:314-369-8845
Mailing Address - Fax:314-344-6801
Practice Address - Street 1:12277 DEPAUL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63044-2529
Practice Address - Country:US
Practice Address - Phone:314-344-6844
Practice Address - Fax:314-344-6801
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS002336103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling