Provider Demographics
NPI:1962165670
Name:BOYLE, QUINN
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:
Last Name:BOYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:QUINN
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2616 HARVARD AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3913
Mailing Address - Country:US
Mailing Address - Phone:425-341-3462
Mailing Address - Fax:206-333-3078
Practice Address - Street 1:2616 HARVARD AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3913
Practice Address - Country:US
Practice Address - Phone:425-341-3462
Practice Address - Fax:206-333-3078
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61670622101YM0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health