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NPI Code Detail

MEDICARE: MRS. MARIANNE M JOYNT PSYCHOLOGIST

MEDICARE: MRS. MARIANNE M JOYNT PSYCHOLOGIST
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
1103T00000XPsychologist6301012689MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891781928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIANNE M JOYNT PSYCHOLOGIST
Provider Business Mailing Address
First Line : 418 W KALAMAZOO AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3334
Country : US
Telephone Number : 269-553-7085
Fax Number : 269-553-7129
Provider Business Practice Location Address
First Line : 418 W KALAMAZOO AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3334
Country : US
Telephone Number : 269-553-7085
Fax Number : 269-553-7129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 11/19/2013

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