Individual
DR. JOYCE SHIRLEY DEGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11 GREENWOOD CT, RACINE, WI 53402-1248
(262) 639-2265
Mailing address
11 GREENWOOD CT, RACINE, WI 53402-1248
(262) 639-2265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
870
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39050800
—
WI
Enumeration date
05/09/2007
Last updated
07/08/2007
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