Provider Demographics
NPI:1366810327
Name:WILLENBRINK-CONTE, JOY M (MA, MT-BC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:M
Last Name:WILLENBRINK-CONTE
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:M
Other - Last Name:WILLENBRINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 OAK ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410-1336
Mailing Address - Country:US
Mailing Address - Phone:920-268-6466
Mailing Address - Fax:
Practice Address - Street 1:300 OAK ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410-1336
Practice Address - Country:US
Practice Address - Phone:920-268-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10642225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist