Doctor Name: | JOY E DELISLE |
NPI Number: | 1043453590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC2209 |
Business Practice Address: | 507 Henderson Ave Cumberland, MD - 215021562 |
Business Phone Number: | 3017247277 |
Business Fax Number: | 3017247022 |
Mailing Address: | 16241 Harwood Dr Sw, FROSTBURG |
State: | MD |
Postal Code: | 215323528 |
Phone Number: | 3017247277 |
Fax Number: | 3017247022 |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC2209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |