| Michael Joyce, Licsw. Plc | |
|
525 Hercules Dr Suite 1a Colchester VT 05446-5993 | |
| (802) 264-5333 | |
| (802) 264-5338 |
| Full Name | Michael Joyce, Licsw. Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 525 Hercules Dr, Colchester, Vermont |
| Authorized Official Name and Position | Michael Joyce (SOLE MEMBER) |
| Authorized Official Contact | 8022645333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Joyce, Licsw. Plc Po Box 392 Colchester VT 05446-0392 Ph: (802) 264-5333 | Michael Joyce, Licsw. Plc 525 Hercules Dr Suite 1a Colchester VT 05446-5993 Ph: (802) 264-5333 |
| NPI Number | 1083967640 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083967640 | NPI | - | NPPES |
| 1021066 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890000718 (Vermont) | Primary |
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