Provider Demographics
NPI:1285831420
Name:BOYER, PATRICIA ANN (LCSW LMFT WYO LICENS)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:BOYER
Suffix:
Gender:F
Credentials:LCSW LMFT WYO LICENS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 S MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-4436
Mailing Address - Country:US
Mailing Address - Phone:307-265-7755
Mailing Address - Fax:307-237-9743
Practice Address - Street 1:1339 S MITCHELL ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-4436
Practice Address - Country:US
Practice Address - Phone:307-265-7755
Practice Address - Fax:307-237-9743
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY0731041C0700X
WY006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist