Provider Demographics
NPI:1467884221
Name:BOYCE, ANDREA CHRISTINE (MS, LPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CHRISTINE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20325 N 51ST AVE STE 168
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4624
Mailing Address - Country:US
Mailing Address - Phone:844-385-3747
Mailing Address - Fax:
Practice Address - Street 1:2820 N GLASSFORD HILL RD STE 108
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2256
Practice Address - Country:US
Practice Address - Phone:844-385-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty