Provider Demographics
NPI:1396194445
Name:BOYCE, MARY AYANNA (MSC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:AYANNA
Last Name:BOYCE
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E MICHELTORENA STREET
Mailing Address - Street 2:UNIT 92
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103
Mailing Address - Country:US
Mailing Address - Phone:805-637-0146
Mailing Address - Fax:
Practice Address - Street 1:540 WEST PUEBLO STREET
Practice Address - Street 2:CANCER CENTER OF SANTA BARBARA WITH SANSUM CLINIC
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-563-5828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000767170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS