Provider Demographics
NPI:1316379530
Name:KUCZMA, JOYCE MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:KUCZMA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11639 ROUTE 30 STE 1113
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-5310
Mailing Address - Country:US
Mailing Address - Phone:412-628-1688
Mailing Address - Fax:
Practice Address - Street 1:11639 ROUTE 30 STE 1113
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-5310
Practice Address - Country:US
Practice Address - Phone:412-628-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000727106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist