Provider Demographics
NPI:1780034264
Name:BOYCE, DOROTHY (MT-BC, CADC)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:BOYCE
Suffix:
Gender:F
Credentials:MT-BC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4693 SPRUCE RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17222-9218
Mailing Address - Country:US
Mailing Address - Phone:717-856-4407
Mailing Address - Fax:
Practice Address - Street 1:4693 SPRUCE RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:PA
Practice Address - Zip Code:17222-9218
Practice Address - Country:US
Practice Address - Phone:717-856-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)