Summer Nichole Boyette

Individual provider Active NPI Developmental Therapist · Deerfield BCH, FL

NPI 1679970073 · NPPES record last updated Dec 1, 2014

Key facts

NPI
1679970073
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone
(888) 880-9270
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817

Mailing address

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone (888) 880-9270

Other providers in Deerfield BCH, FL

All providers in Deerfield BCH, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.