NPI 1487801007 · live from the CMS NPI Registry
David George Boyles, LPE-I
Psychologist, Clinical Child & Adolescent in Forrest City, AR. National Provider Identifier 1487801007, active.
NPI record
| NPI | 1487801007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 3998 Highway 1 North, Forrest City, AR 72335 |
| Practice phone | 870-633-1737 |
| Mailing address | Po Box 66, Wynne, AR 72396 |
| Enumerated | August 26, 2008 |
| Last updated | August 26, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 88-13E (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.