Provider Demographics
NPI:1093897100
Name:MYERS, JOANN HILL (MFT)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:HILL
Last Name:MYERS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 E HUNTINGTON DR
Mailing Address - Street 2:SUITE 333
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-6203
Mailing Address - Country:US
Mailing Address - Phone:626-358-3934
Mailing Address - Fax:626-445-6818
Practice Address - Street 1:444 E HUNTINGTON DR
Practice Address - Street 2:SUITE 333
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-6203
Practice Address - Country:US
Practice Address - Phone:626-358-3934
Practice Address - Fax:626-445-6818
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 28619106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist