Provider Demographics
NPI:1154425221
Name:LAHAYE, JOCELYN JOAN (MD)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:JOAN
Last Name:LAHAYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 BELMONT ST
Mailing Address - Street 2:MCLEAN HOSPITAL SOUTHEAST LOCATION
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5596
Mailing Address - Country:US
Mailing Address - Phone:508-894-8300
Mailing Address - Fax:508-894-8342
Practice Address - Street 1:940 BELMONT ST
Practice Address - Street 2:MCLEAN HOSPITAL SOUTHEAST LOCATION
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:508-894-8300
Practice Address - Fax:508-894-8342
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA9139102084P0800X
MA543092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A913910Medicare ID - Type Unspecified
C90741Medicare UPIN