Provider Demographics
NPI:1942822150
Name:BOYLE, JOSEPH P
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:BOYLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2808
Mailing Address - Country:US
Mailing Address - Phone:234-801-2469
Mailing Address - Fax:330-364-9212
Practice Address - Street 1:204 2ND ST NE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2808
Practice Address - Country:US
Practice Address - Phone:234-801-2469
Practice Address - Fax:330-364-9212
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor