Individual
DR. JOYCE SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 SKI HILL RD, PORTAGE, IN 46368-8719
(219) 781-7198
(219) 763-7792
Mailing address
78 SKI HILL ROAD, PORTAGE, IL 44636
(219) 781-7198
(219) 763-7792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040615
IN
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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