Provider Demographics
NPI:1427266097
Name:KERWIN, JOAN E (LMFT)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:KERWIN
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 1:8550 SHADBLOW CT APT 3
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-5835
Mailing Address - Country:US
Mailing Address - Phone:727-271-1783
Mailing Address - Fax:
Practice Address - Street 1:212 3RD ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3819
Practice Address - Country:US
Practice Address - Phone:727-894-4661
Practice Address - Fax:727-894-3870
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2220106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist