JOYCE MARIE DYKSTRA


Address: 12 W Wood St, Newaygo, MI 49337
Phone: 2316521780

JOYCE MARIE DYKSTRA (NPI# 1841318755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841318755
Entity Type Individual
Full Name JOYCE MARIE DYKSTRA
Credential LLP
Practice Address 12 W Wood St
Newaygo
MI 49337
Mailing Address 221 E Oak St
Fremont
MI 49412-1649
Practice Telephone 2316521780
Practice Fax Number 2316521786
Mailing Telephone 2319246302
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301010718 MI Behavioral Health & Social Service Providers

Office Location

Street Address 12 W WOOD ST
City NEWAYGO
State MI
Zip Code 49337

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1558907824 Community Hospice, Inc Hospice Care, Community Based 181 West River Valley, Newaygo, MI 49337 2019-11-21
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1952674954 Herminigilda Dadulia Delantar Physical Therapist 211 W Pine Lake Drive, Newaygo, MI 49337 2012-02-22
1194982355 Gale Ann Beach Social Worker 12 W Wood, Newaygo, MI 49337 2008-05-16
1275652224 Jackie Ann Malsom Social Worker 12 West Wood, Newaygo, MI 49337 2007-03-29
1689726531 Ronald Paul Leyder Dentist 7166 S Croton Hardy Drive, Newaygo, MI 49337 2007-01-18
1356434849 Melinda Meendering Physical Therapist 194 E 82nd St, Newaygo, MI 49337 2006-10-02
1528168929 Susan Magee Wente Advanced Practice Midwife 116 W Northland Drive, Newaygo, MI 49337 2006-09-25
1043263825 Shopko Stores Operating Co LLC Pharmacy 91 Pine Lake Dr, Newaygo, MI 49337 2006-05-19
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1881229151 Shannon Sugarman Psychotherapy Psychologist 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 2020-03-07
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1801431481 Christine Williams, Ms, LLP,pllc Psychologist 190 N Main St Ste D, Plymouth, MI 48170-1236 2019-11-07
1134761398 Mackenzie Mercer Psychologist 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 2019-10-09
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Competitor

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City NEWAYGO
Zip Code 49337

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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