Provider Demographics
NPI:1063587418
Name:JOY, AUBREY ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:ELIZABETH
Last Name:JOY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 37TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6701
Mailing Address - Country:US
Mailing Address - Phone:916-453-1006
Mailing Address - Fax:916-453-1006
Practice Address - Street 1:1441 37TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6701
Practice Address - Country:US
Practice Address - Phone:916-453-1006
Practice Address - Fax:916-453-1006
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10632103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent