Provider Demographics
NPI:1497718779
Name:ABOYOUN, DARREN CHRISTIAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:CHRISTIAN
Last Name:ABOYOUN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18044-0892
Mailing Address - Country:US
Mailing Address - Phone:610-250-9009
Mailing Address - Fax:
Practice Address - Street 1:91 LARRY HOLMES DR
Practice Address - Street 2:SUITE 210
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-7745
Practice Address - Country:US
Practice Address - Phone:610-250-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA-015360103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAB1760613OtherHIGHMARK
PA50031393OtherCAPITAL BLUE CROSS