MEDICARE: DR. CAROLYN BLOYE 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558643346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN BLOYE PSY.D.

Provider Business Mailing Address
First Line	:	552 MEMORIAL DRIVE EXT STE 200
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29651-1135
Country	:	US
Telephone Number	:	831-265-3080
Fax Number	:	831-233-3966

Provider Business Practice Location Address
First Line	:	552 MEMORIAL DRIVE EXT STE 200
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29651-1135
Country	:	US
Telephone Number	:	831-265-3080
Fax Number	:	831-233-3966

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

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	07/21/2022

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