Provider Demographics
NPI:1952564486
Name:STOCHOSKY, JOY E
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:E
Last Name:STOCHOSKY
Suffix:
Gender:F
Credentials:
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 959
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98907-0959
Mailing Address - Country:US
Mailing Address - Phone:509-575-4084
Mailing Address - Fax:
Practice Address - Street 1:1200 CHESTERLY DR
Practice Address - Street 2:200
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-7338
Practice Address - Country:US
Practice Address - Phone:509-575-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00043820101YM0800X
WALH60143312101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health