Basic Information
| Provider Information | |||||||||
| NPI: | 1003148099 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAY | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | CEREJO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D; LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 NORTH MAIN ST. | ||||||||
| Address2: | |||||||||
| City: | SOUTHINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064894370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602885400 | ||||||||
| FaxNumber: | 8602885411 | ||||||||
| Practice Location | |||||||||
| Address1: | 51 NORTH MAIN ST. | ||||||||
| Address2: | SUITE 3N | ||||||||
| City: | SOUTHINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064894370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602885400 | ||||||||
| FaxNumber: | 8602885411 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2010 | ||||||||
| LastUpdateDate: | 03/09/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 001642 | CT | Y | Behavioral Health & Social Service Providers | Counselor | Professional | 103TS0200X | 001642 | CT | N | Behavioral Health & Social Service Providers | Psychologist | School |
No ID Information.