MEDICARE: DR. DENISE BOYCHUK PSY.D.

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	103T00000X	Psychologist	PSY23339	CA

General Provider Information

NPI Number	:	1063540433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE BOYCHUK PSY.D.

Provider Business Mailing Address
First Line	:	34800 BOB WILSON DRIVE
Second Line	:	NAVAL MEDICAL CENTER SAN DIEGO
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-0001
Country	:	US
Telephone Number	:	619-532-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 FIFTH AVE
Second Line	:	SUITE 220
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5856
Country	:	US
Telephone Number	:	858-577-7041
Fax Number	:	858-577-7154

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	04/01/2026

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