John Joseph Boyle

Individual provider Active NPI Marriage & Family Therapist · Solana Beach, CA

NPI 1508998469 · NPPES record last updated Sep 5, 2012

Key facts

NPI
1508998469
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 39379 (CA)
Practice address
462 Stevens Ave
Suite 108
Solana Beach, CA 92075-2075
Phone
(714) 869-4682
Fax
(949) 460-5322
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC 39379CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 39379 CA Yes

Addresses

Primary practice location

462 Stevens Ave
Suite 108
Solana Beach, CA 92075-2075

Mailing address

21562 Anns LN
Unit B
Laguna Beach, CA 92651-2053
Phone (714) 869-4682

Other names

  • John Joseph Boyle Professional name

Other providers in Solana Beach, CA

All providers in Solana Beach, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.