Provider Demographics
NPI:1043320971
Name:VESPER, JOYCE H (PHD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:H
Last Name:VESPER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6390 E THOMAS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7051
Mailing Address - Country:US
Mailing Address - Phone:480-945-1884
Mailing Address - Fax:480-945-6591
Practice Address - Street 1:6390 E THOMAS RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7051
Practice Address - Country:US
Practice Address - Phone:480-945-1884
Practice Address - Fax:480-945-6591
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ0400103TC0700X
AZ0078106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPHD0400Medicare ID - Type Unspecified