Provider Demographics
NPI:1538371919
Name:EARL, JOYCE NORMA (PHD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:NORMA
Last Name:EARL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34062 ZARZITO DR
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2644
Mailing Address - Country:US
Mailing Address - Phone:949-493-2706
Mailing Address - Fax:949-493-6672
Practice Address - Street 1:31726 RANCHO VIEJO RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-2779
Practice Address - Country:US
Practice Address - Phone:949-493-8862
Practice Address - Fax:949-493-6672
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 9066103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral