Healthcare Provider Details

I. General information

NPI: 1396652582
Provider Name (Legal Business Name): AMANDA JANE BOYER ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 E 79TH ST
CLEVELAND OH
44103-2864
US

IV. Provider business mailing address

8708 CHESEA CT
NORTHFIELD OH
44067-4100
US

V. Phone/Fax

Practice location:
  • Phone: 216-327-4533
  • Fax:
Mailing address:
  • Phone: 310-384-5453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: