Healthcare Provider Details

I. General information

NPI: 1255511374
Provider Name (Legal Business Name): MRS. ARLEEN BOYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48827 N BLACK CANYON HWY
NEW RIVER AZ
85087-6910
US

IV. Provider business mailing address

48827 N BLACK CANYON HWY
NEW RIVER AZ
85087-6910
US

V. Phone/Fax

Practice location:
  • Phone: 623-376-3500
  • Fax: 623-376-3580
Mailing address:
  • Phone: 623-376-3500
  • Fax: 623-376-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: