Healthcare Provider Details

I. General information

NPI: 1124173364
Provider Name (Legal Business Name): JOY KATHARINE RICE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 MARSHALL CT
MADISON WI
53705-2255
US

IV. Provider business mailing address

4230 WABAN HL
MADISON WI
53711-3711
US

V. Phone/Fax

Practice location:
  • Phone: 608-238-9354
  • Fax: 608-238-7675
Mailing address:
  • Phone: 608-271-3177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number79-057
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: