| Doctor Name: | DR. JOEL D SHUY |
| NPI Number: | 1164572574 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | PY0005480 |
| Business Practice Address: | 96 Willard St Suite 306 Cocoa, FL - 329227991 |
| Business Phone Number: | 3216380027 |
| Business Fax Number: | 3216380115 |
| Mailing Address: | 96 Willard St, Suite 306 COCOA |
| State: | FL |
| Postal Code: | 329227991 |
| Phone Number: | 3216380027 |
| Fax Number: | 3216380115 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 09/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY0005480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |