Provider Demographics
NPI:1154146660
Name:WOODWARD, JOY
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5580 FOREST GREEN DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6778
Mailing Address - Country:US
Mailing Address - Phone:419-389-2169
Mailing Address - Fax:
Practice Address - Street 1:5726 SOUTHWYCK BLVD STE 140
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1587
Practice Address - Country:US
Practice Address - Phone:419-214-9366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician