Provider Demographics
NPI:1134260581
Name:BOYLAN, JOHN F (PHD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:BOYLAN
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 1:2095 N COLLINS BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-8305
Mailing Address - Country:US
Mailing Address - Phone:214-893-4567
Mailing Address - Fax:
Practice Address - Street 1:2095 N COLLINS BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-8305
Practice Address - Country:US
Practice Address - Phone:214-893-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor