| Doctor Name: | JOY A MYERS |
| NPI Number: | 1407079866 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 852 |
| Business Practice Address: | W62n248 Washington Ave Suite #207 Cedarburg, WI - 530122768 |
| Business Phone Number: | 2623751116 |
| Business Fax Number: | 2623751071 |
| Mailing Address: | W62n248 Washington Ave, Suite #207 CEDARBURG |
| State: | WI |
| Postal Code: | 530122768 |
| Phone Number: | 2623751116 |
| Fax Number: | 2623751071 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 852 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |