MEDICARE: SOLOMON BENJAMIN BOYCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11895001-3501	UT

General Provider Information

NPI Number	:	1558663195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLOMON BENJAMIN BOYCE

Provider Business Mailing Address
First Line	:	2141 W 1000 N
Second Line	:
City	:	TREMONTON
State	:	UT
Zip	:	84337-9362
Country	:	US
Telephone Number	:	435-512-4406
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 N 2000 W STE 7
Second Line	:
City	:	FARR WEST
State	:	UT
Zip	:	84404-8060
Country	:	US
Telephone Number	:	801-710-0421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	01/23/2026

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