Provider Demographics
NPI:1801595988
Name:BOYCE, AARON DOUGLAS
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:DOUGLAS
Last Name:BOYCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-2605
Mailing Address - Country:US
Mailing Address - Phone:302-535-4230
Mailing Address - Fax:
Practice Address - Street 1:7331 TIMBERLAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2300
Practice Address - Country:US
Practice Address - Phone:434-382-1642
Practice Address - Fax:434-473-6031
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012234101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional