Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1225139512 |
---|---|
Provider Name | Mr. Jeffrey Dean Joy |
First Address | Meriden, CT 06451-4976 |
Second Address | West Haven, CT 06516-2043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |