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NPI Code Detail

MEDICARE: MS. JENNIFER MAE BOYEA M.A., LMFT

MEDICARE: MS. JENNIFER MAE BOYEA M.A., LMFT
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 Therapist50099CA

General Provider Information

NPI Number : 1851437578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER MAE BOYEA M.A., LMFT
Provider Business Mailing Address
First Line : 2351 CARDINAL LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-3743
Country : US
Telephone Number : 858-573-2227
Fax Number :
Provider Business Practice Location Address
First Line : 5650 MOUNT ACKERLY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-4016
Country : US
Telephone Number : 858-302-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 09/12/2019

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