MEDICARE: KRISTA BOYER

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1093493769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA BOYER

Provider Business Mailing Address
First Line	:	1867 CHAPMAN ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-2707
Country	:	US
Telephone Number	:	412-889-3573
Fax Number	:

Provider Business Practice Location Address
First Line	:	1867 CHAPMAN ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-2707
Country	:	US
Telephone Number	:	412-889-3573
Fax Number	:

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

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	07/11/2023

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Directions to “ KRISTA BOYER ” Practice Location

Language	Start Address	Practice Location

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