Provider Demographics
NPI:1558143925
Name:BOYLE, DIANA (MS,LPC,NCC,CEAP,LAC)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:
Last Name:BOYLE
Suffix:
Gender:F
Credentials:MS,LPC,NCC,CEAP,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 HAINES AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-0710
Mailing Address - Country:US
Mailing Address - Phone:605-716-7841
Mailing Address - Fax:605-718-0404
Practice Address - Street 1:1520 HAINES AVE STE 6
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-0710
Practice Address - Country:US
Practice Address - Phone:605-716-7841
Practice Address - Fax:605-718-0404
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)