Provider Demographics
NPI:1245526417
Name:HOUSE, JOY LYNNE (MA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:LYNNE
Last Name:HOUSE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:IRONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18166 N JAMESON DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-4651
Mailing Address - Country:US
Mailing Address - Phone:480-803-1413
Mailing Address - Fax:480-718-8290
Practice Address - Street 1:3150 N ARIZONA AVE STE 114
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7170
Practice Address - Country:US
Practice Address - Phone:480-803-1413
Practice Address - Fax:480-718-8290
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-25
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG 60318268106H00000X
AZLMFT-15704106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist