Provider Demographics
NPI:1427591221
Name:BOYCE, JOSHUA M (LSW)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:M
Last Name:BOYCE
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:240 N TILLOTSON AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-3988
Mailing Address - Country:US
Mailing Address - Phone:765-288-1928
Mailing Address - Fax:765-741-0335
Practice Address - Street 1:630 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-4353
Practice Address - Country:US
Practice Address - Phone:765-935-5390
Practice Address - Fax:765-935-5392
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33008227A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker