Healthcare Provider Details

I. General information

NPI: 1184783052
Provider Name (Legal Business Name): PATRICIA M JOYCE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 SHREVEPORT HWY
PINEVILLE LA
71360-4044
US

IV. Provider business mailing address

2495 SHREVEPORT HWY
PINEVILLE LA
71360-4044
US

V. Phone/Fax

Practice location:
  • Phone: 318-466-2699
  • Fax:
Mailing address:
  • Phone: 318-466-2699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY 6414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: