Provider Demographics
NPI:1417060278
Name:BOYCE, DENISE LENORE CLAUDINE (DD, DMIN, PHD, LMSW)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:LENORE CLAUDINE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:DD, DMIN, PHD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 3RD AVE
Mailing Address - Street 2:209
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1822
Mailing Address - Country:US
Mailing Address - Phone:718-858-4626
Mailing Address - Fax:
Practice Address - Street 1:30 3RD AVE
Practice Address - Street 2:209
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1822
Practice Address - Country:US
Practice Address - Phone:718-858-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP52289104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker