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Individual
MR. TIMOTHY P BOYLE
Active
Individual
MR. TIMOTHY P BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001429
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2321719000
IBC
PA
01
—
476478000
KEYSTONE
PA
Enumeration date
08/31/2006
Last updated
03/16/2019
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