MEDICARE: JOYCE MCINTOSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	26315	CA

General Provider Information

NPI Number	:	1740699594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE MCINTOSH

Provider Business Mailing Address
First Line	:	5100 N 6TH ST STE 142
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7514
Country	:	US
Telephone Number	:	559-270-0178
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 W. INDIANAPOLIS AVE.
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93705-1018
Country	:	US
Telephone Number	:	559-270-0178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	11/16/2023

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Directions to “ JOYCE MCINTOSH ” Practice Location

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