Provider Demographics
NPI:1083023584
Name:BOYLE, LISA CLAIRE (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:CLAIRE
Last Name:BOYLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COUNSELING & PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:UNIVERSITY OF COLORADO 104 UCB
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-0001
Mailing Address - Country:US
Mailing Address - Phone:303-492-6287
Mailing Address - Fax:
Practice Address - Street 1:COUNSELING & PSYCHOLOGICAL SERVICES
Practice Address - Street 2:UNIVERSITY OF COLORADO 104 UCB
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0001
Practice Address - Country:US
Practice Address - Phone:303-492-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW000007821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical