Provider Demographics
NPI:1396345252
Name:BOYER, PHILIP GEORGE (MSW, MHP)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:GEORGE
Last Name:BOYER
Suffix:
Gender:M
Credentials:MSW, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 EASTMONT AVE STE B
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5306
Mailing Address - Country:US
Mailing Address - Phone:509-885-9090
Mailing Address - Fax:509-884-0118
Practice Address - Street 1:220 EASTMONT AVE STE B
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5306
Practice Address - Country:US
Practice Address - Phone:509-885-9090
Practice Address - Fax:509-884-0118
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker