Provider Demographics
NPI:1598152027
Name:BOYER, MARIE LYNN
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:LYNN
Last Name:BOYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 EAST GREEN ST.
Mailing Address - Street 2:TOMPKINS COUNTY MENTAL HEALTH DEP'T.
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-274-6333
Mailing Address - Fax:607-274-6228
Practice Address - Street 1:201 EAST GREEN ST.
Practice Address - Street 2:TOMPKINS COUNTY MENTAL HEALTH DEP'T.
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5635
Practice Address - Country:US
Practice Address - Phone:607-274-6333
Practice Address - Fax:607-274-6228
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator