Healthcare Provider Details

I. General information

NPI: 1023298841
Provider Name (Legal Business Name): MS. JOAN ELIZABETH SYKES-MIESSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 WEEKS ST
EAST PALO ALTO CA
94303-1626
US

IV. Provider business mailing address

801 WEEKS ST
EAST PALO ALTO CA
94303-1626
US

V. Phone/Fax

Practice location:
  • Phone: 650-329-9938
  • Fax:
Mailing address:
  • Phone: 650-329-9938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: