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General NPI Number Information
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NPI Number | 1396009742
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Entity Type | Individual
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Provider Name | SHEENA JOYCHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2012
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 16836 NEWBURGH RD # 27
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City | LIVONIA
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State | MI
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Zip | 48154-1600
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Country | US
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Telephone | 734-464-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 400 MACK AVE
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City | DETROIT
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State | MI
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Zip | 48201-2136
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4301100923
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 055144
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 55124
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 055143
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License Number State | CT
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