Provider Demographics
NPI:1538288865
Name:SILER, JOYCE DIANE (MA, MFTI)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:DIANE
Last Name:SILER
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:DIANE
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30041 JAMAICA DUNES DR
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-7427
Mailing Address - Country:US
Mailing Address - Phone:510-432-4880
Mailing Address - Fax:
Practice Address - Street 1:30041 JAMAICA DUNES DR
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-7427
Practice Address - Country:US
Practice Address - Phone:510-432-4880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF47321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00007301Medicaid
CACB13152OtherLA DMH PROVIDER