| Doctor Name: | MRS. GRACE DANIEL JOY |
| NPI Number: | 1003030214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NONE |
| Business Practice Address: | 15 E Dewey Ave Sapulpa, OK - 740664201 |
| Business Phone Number: | 9182272016 |
| Business Fax Number: | 9182271125 |
| Mailing Address: | 15 E Dewey Ave, SAPULPA |
| State: | OK |
| Postal Code: | 740664201 |
| Phone Number: | 9182272016 |
| Fax Number: | 9182271125 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | NONE |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |