Provider Demographics
NPI:1780807453
Name:BOYCE, ANABEL MARIE (MSED)
Entity type:Individual
Prefix:MS
First Name:ANABEL
Middle Name:MARIE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10023 S CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-1065
Mailing Address - Country:US
Mailing Address - Phone:773-844-1059
Mailing Address - Fax:773-238-5043
Practice Address - Street 1:10023 S CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-1065
Practice Address - Country:US
Practice Address - Phone:773-844-1059
Practice Address - Fax:773-238-5043
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist