Provider Demographics
NPI:1770034605
Name:NAVAN, JOY (LPA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:NAVAN
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-0004
Mailing Address - Country:US
Mailing Address - Phone:877-732-8683
Mailing Address - Fax:877-584-8285
Practice Address - Street 1:1700 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7705
Practice Address - Country:US
Practice Address - Phone:877-732-8683
Practice Address - Fax:877-584-8285
Is Sole Proprietor?:No
Enumeration Date:2016-10-15
Last Update Date:2016-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168442103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical