Provider Demographics
NPI:1861605958
Name:SMITH, JOYCE MAURER (MSN, LMFT)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MAURER
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSN, LMFT
Other - Prefix:MS
Other - First Name:JOYCE
Other - Middle Name:MAURER
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:202 EAST ELM STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150
Mailing Address - Country:US
Mailing Address - Phone:812-941-0920
Mailing Address - Fax:812-941-0990
Practice Address - Street 1:202 EAST ELM STREET
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150
Practice Address - Country:US
Practice Address - Phone:812-941-0920
Practice Address - Fax:812-941-0990
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001445A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist