Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | KY-R3798 | KY |
N | 225XP0200X | Occupational Therapist - Pediatrics | KY-R3798 | KY |
NPI | 1285876839 |
---|---|
Provider Name | Miss Joy Ellen Haas |
First Address | Jeffersonville, IN 47130-8292 |
Second Address | New Albany, IN 47150-9385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2009 |
Last Update Date | 12/12/2014 |