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NPI Code Detail

MEDICARE: GINA MARIE BOYER LMFT # 93515

MEDICARE: GINA MARIE BOYER LMFT # 93515
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 Therapist93515CA

General Provider Information

NPI Number : 1982978839
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MARIE BOYER LMFT # 93515
Provider Business Mailing Address
First Line : 6145 IMPERIAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92114-4213
Country : US
Telephone Number : 619-839-0948
Fax Number :
Provider Business Practice Location Address
First Line : 6145 IMPERIAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92114-4213
Country : US
Telephone Number : 619-839-0948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 06/20/2018

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Directions to “ GINA MARIE BOYER LMFT # 93515” Practice Location

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