IndividualActive
Joyce Theard
NPI 1730666017 · Prevention Professional · Berkeley, MO
Provider details
- NPI number
- 1730666017
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- SE103 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
6121 N Hanley Rd
Berkeley, MO 63134-2003
Phone: (314) 615-6415
Fax: (314) 615-6415
Approximate (ZIP-level) locationGet directions
Mailing address
6121 N Hanley Rd
Berkeley, MO 63134-2003
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2018-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.