Piccolino, Joy Pamela

Piccolino, Joy Pamela is an individual health care provider with primary practice located at 12940 Harriet Ave S Suite 250, Burnsville MN 55337-2680. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Piccolino, Joy Pamela can be contacted via phone (952) 435-4074.

Contact Information

Primary practice address
12940 Harriet Ave S Suite 250 Burnsville MN 55337-2680
Phone: (952) 435-4074
Fax: (952) 435-6074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4179 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4179 Minnesota

Profile Details

NPI number 1225123946
LBN Legal business name Piccolino, Joy Pamela
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225123946 NPPES
Minnesota MEDICAID 5572177-00

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