Individual
DR. JOYCE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 NORTH MICHIGAN ST #208, SOUTH BEND, IN 46601
(574) 233-9756
Mailing address
300 NORTH MICHIGAN ST #208, SOUTH BEND, IN 46601
(574) 233-9756
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040673
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20040673
STATE BD OF EXAMINERS LIC
IN
01
—
8127
STATE OF NY EDUCATION DEP
NY
Enumeration date
08/29/2006
Last updated
10/12/2008
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