Provider Demographics
NPI:1982897328
Name:GAYLE JOYCE, LCSW
Entity Type:Organization
Organization Name:GAYLE JOYCE, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:603-749-1536
Mailing Address - Street 1:2 BROOKMOOR RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-5338
Mailing Address - Country:US
Mailing Address - Phone:603-749-1536
Mailing Address - Fax:603-749-1536
Practice Address - Street 1:2 BROOKMOOR RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5338
Practice Address - Country:US
Practice Address - Phone:603-749-1536
Practice Address - Fax:603-749-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LC8739251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME11738571OtherCAQH
ME11738571OtherCAQH