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NPI Code Detail

MEDICARE: MS. EVE M. BOYER M.A., MFT

MEDICARE: MS. EVE M. BOYER M.A., MFT
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
1106H00000XMarriage & Family TherapistMFC 227722CA

General Provider Information

NPI Number : 1700891199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EVE M. BOYER M.A., MFT
Provider Business Mailing Address
First Line : 3411 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4906
Country : US
Telephone Number : 619-298-5835
Fax Number :
Provider Business Practice Location Address
First Line : 3411 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4906
Country : US
Telephone Number : 619-298-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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