Michael James Boylan in Tempe - Clinical

Michael James Boylan - NPI 1215072764

Michael James Boylan is a Clinical in Tempe, Arizona. Michael James Boylan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael James Boylan is 1215072764. The last update date is 2017-04-23.

Michael James Boylan's current location address is 1400 E Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4808040326 and fax number 4808040083. The mailing address for Michael James Boylan is 1400 E Southern Ave, Tempe, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael James Boylan
Address 1400 E Southern Ave, Tempe, Arizona
Phone Number 4808040326
Fax Number 4808040083
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1215072764
Provider Enumeration Date 2007-02-21
Last Updated Date 2017-04-23

Provider Mailing Address Detail

Address 1400 E Southern Ave
City Tempe
State Arizona (AZ)
Post Code 852825691
Phone Number 4808040326
Fax Number 4808040083

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 11218
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
859051 AZ --

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FAQs about Michael James Boylan

What is the unique 10-digit identifier code issued to Michael James Boylan by the Centers for Medicare & Medicaid Services?

The Michael James Boylan has been assigned the NPI (National Provider Identifier) 1215072764 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Michael James Boylan?

The Michael James Boylan is situated at 1400 E Southern Ave, in the city of Tempe, state of AZ, with the zip code 852825691.

What is the Michael James Boylan's specialty and taxonomy code?

The Michael James Boylan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did Michael James Boylan receive its 1215072764 assignment from the Centers for Medicare & Medicaid Services?

The Michael James Boylan was assigned its 1215072764 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Michael James Boylan most recently updated or revised?

The details related to Michael James Boylan, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-23.

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