Provider Demographics
NPI:1417788233
Name:JOYNER, GRACE ELIZABETH (BA BFA MS LPCAT)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ELIZABETH
Last Name:JOYNER
Suffix:
Gender:F
Credentials:BA BFA MS LPCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:625 PANORAMA TRAIL, BUILDING 3, SUITE 200
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14625
Mailing Address - Country:US
Mailing Address - Phone:585-865-3584
Mailing Address - Fax:844-765-5645
Practice Address - Street 1:625 PANORAMA TRAIL, BUILDING 3, SUITE 200
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14625
Practice Address - Country:US
Practice Address - Phone:585-865-3584
Practice Address - Fax:844-765-5645
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYP129462221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist