Provider Demographics
NPI:1366996779
Name:DIER, JOYCELYN MICHELLE
Entity type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:MICHELLE
Last Name:DIER
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 1:25111 GRODAN DR
Mailing Address - Street 2:APT. 236
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2529
Mailing Address - Country:US
Mailing Address - Phone:313-244-3509
Mailing Address - Fax:
Practice Address - Street 1:25111 GRODAN DR
Practice Address - Street 2:APT. 236
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2529
Practice Address - Country:US
Practice Address - Phone:313-244-3509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst