Provider Demographics
NPI:1285876839
Name:HAAS, JOY ELLEN (MSOT, OTR/L)
Entity type:Individual
Prefix:MISS
First Name:JOY
Middle Name:ELLEN
Last Name:HAAS
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ORCHARD HILLS DR APT 208
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-8292
Mailing Address - Country:US
Mailing Address - Phone:502-553-8263
Mailing Address - Fax:
Practice Address - Street 1:5040 CHARLESTOWN CROSSING WAY
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-9385
Practice Address - Country:US
Practice Address - Phone:502-553-8263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-28
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R3798225XM0800X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics