Provider Demographics
NPI:1528492642
Name:JADWIN, JOYCE E (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:E
Last Name:JADWIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5310 EAST MAIN STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213
Mailing Address - Country:US
Mailing Address - Phone:614-751-1090
Mailing Address - Fax:614-751-1091
Practice Address - Street 1:5310 E MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2598
Practice Address - Country:US
Practice Address - Phone:614-751-1090
Practice Address - Fax:614-751-1091
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH6954103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical