# DR. JOY WOLFE ENSOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033305206
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 6301003018 | MI | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 6301003018 | MI | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 11/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 68-0-H1-1769-0 | BLUE CROSS BLUE SHIELD OF MICHIGAN | MI |