Doctor Name: | JOYCE JOHNSON |
NPI Number: | 1104186824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC01487000 |
Business Practice Address: | 566 Haddon Ave Collingswood, NJ - 081081444 |
Business Phone Number: | 8568589314 |
Business Fax Number: | 8568585672 |
Mailing Address: | 2003 Lincoln Dr W Ste C, MARLTON |
State: | NJ |
Postal Code: | 080531529 |
Phone Number: | 8565968007 |
Fax Number: | 8565968699 |
NPI Enumeration Date: | 05/29/2012 |
NPI Last Update Date: | 05/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC01487000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |