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NPI Code Detail

MEDICARE: THOMAS DYLAN BOYER

MEDICARE:   THOMAS DYLAN 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
1103TH0100XHealth Service PsychologistWV

General Provider Information

NPI Number : 1497601777
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS DYLAN BOYER
Provider Business Mailing Address
First Line : 812 PUZZLE PL
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-8030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 812 PUZZLE PL
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-8030
Country : US
Telephone Number : 423-483-2979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ THOMAS DYLAN BOYER ” Practice Location

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