Provider Demographics
NPI:1184107757
Name:JOYCE, KHERI LEIGH I
Entity type:Individual
Prefix:MISS
First Name:KHERI
Middle Name:LEIGH
Last Name:JOYCE
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 16TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2970
Mailing Address - Country:US
Mailing Address - Phone:646-942-8059
Mailing Address - Fax:
Practice Address - Street 1:8510 16TH ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2970
Practice Address - Country:US
Practice Address - Phone:646-942-8059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2023-09-19
Deactivation Date:2023-09-13
Deactivation Code:
Reactivation Date:2023-09-19
Provider Licenses
StateLicense IDTaxonomies
DC104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY251221893OtherDRIVER LICENSE