| Doctor Name: | JOYCE MARIE DYKSTRA |
| NPI Number: | 1841318755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLP |
| License Number: | 6301010718 |
| Business Practice Address: | 12 W Wood St Newaygo, MI - 49337 |
| Business Phone Number: | 2316521780 |
| Business Fax Number: | 2316521786 |
| Mailing Address: | 221 E Oak St, FREMONT |
| State: | MI |
| Postal Code: | 494121649 |
| Phone Number: | 2319246302 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301010718 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |