Individual
BRET A BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1503 LANSDOWNE AVE, SUITE 3008, DARBY, PA 19023-1330
(610) 524-1552
Mailing address
1503 LANSDOWNE AVENUE, SUITE 3008, DARBY, PA 19023
(610) 524-1552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005956L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014740920001
—
PA
01
—
023305
HIGHMARK
PA
01
—
0659085000
PERSONAL CHOICE
PA
01
—
5657127
AETNA
PA
Enumeration date
02/12/2007
Last updated
07/08/2007
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