Provider Demographics
NPI:1831663046
Name:BOYER, DELANEY P (PSYCHIATRIC TECH)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:P
Last Name:BOYER
Suffix:
Gender:
Credentials:PSYCHIATRIC TECH
Other - Prefix:
Other - First Name:DELANEY
Other - Middle Name:P
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2550 W CLINTON AVE BLDG W
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-4206
Mailing Address - Country:US
Mailing Address - Phone:559-832-0850
Mailing Address - Fax:
Practice Address - Street 1:2549 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3308
Practice Address - Country:US
Practice Address - Phone:559-832-0850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32720167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician