Provider Demographics
NPI:1316029267
Name:BOYER, ELIZABETH M
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:M
Last Name:BOYER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:7132 LA JOLLA BLVD.
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5432
Mailing Address - Country:US
Mailing Address - Phone:858-456-1689
Mailing Address - Fax:858-456-1347
Practice Address - Street 1:7132 LA JOLLA BLVD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5432
Practice Address - Country:US
Practice Address - Phone:858-456-1689
Practice Address - Fax:858-456-1347
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS198181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical