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NPI Code Detail

MEDICARE: MS. JOYCE ANN ELLER M.ED., LED

MEDICARE: MS. JOYCE ANN ELLER M.ED., LED
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1033325113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOYCE ANN ELLER M.ED., LED
Provider Business Mailing Address
First Line : 3036 HILLRISE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4704
Country : US
Telephone Number : 505-496-6943
Fax Number :
Provider Business Practice Location Address
First Line : 3036 HILLRISE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4704
Country : US
Telephone Number : 505-496-6943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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