Healthcare Provider Details

I. General information

NPI: 1851519086
Provider Name (Legal Business Name): LAURA JOYCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 W CORNELL DR
TEMPE AZ
85283-2705
US

IV. Provider business mailing address

860 N MCQUEEN RD UNIT 1190
CHANDLER AZ
85225-8105
US

V. Phone/Fax

Practice location:
  • Phone: 480-838-0711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: