Provider Demographics
NPI:1174722862
Name:WOLF, JOYCE D (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:D
Last Name:WOLF
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:L
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2499 S CAPITAL OF TEXAS HWY STE A200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7753
Mailing Address - Country:US
Mailing Address - Phone:512-861-1368
Mailing Address - Fax:
Practice Address - Street 1:2499 S CAPITAL OF TEXAS HWY STE A200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7753
Practice Address - Country:US
Practice Address - Phone:512-861-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33618103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical