Healthcare Provider Details

I. General information

NPI: 1881087526
Provider Name (Legal Business Name): AARON JOYCE, PH.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 03/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3532 ANDERSON AVE. SE
ALBUQUERQUE NM
87106
US

IV. Provider business mailing address

13209 CALLE AZUL SE
ALBUQUERQUE NM
87123
US

V. Phone/Fax

Practice location:
  • Phone: 505-225-1154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1150
License Number StateNM

VIII. Authorized Official

Name: DR. AARON JOYCE
Title or Position: OWNER
Credential: PH.D.
Phone: 505-918-7758