Basic Information
| Provider Information | |||||||||
| NPI: | 1063793420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANIYAH | ||||||||
| FirstName: | JOY | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 122 S MAIN ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481041929 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349456210 | ||||||||
| FaxNumber: | 7343689115 | ||||||||
| Practice Location | |||||||||
| Address1: | 122 S MAIN ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481041929 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349456210 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2011 | ||||||||
| LastUpdateDate: | 11/04/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | 6301014549 | MI | Y | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No ID Information.