Individual
DR. ELIZABETH SHRYER BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1599 SELBY AVENUE, SUITE 103, ST. PAUL, MN 55105
(651) 789-4746
(651) 393-5423
Mailing address
1599 SELBY AVE, SUITE 103, ST. PAUL, MN 55104
(651) 789-4746
(651) 393-5423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3254
MN
103TC0700X
Clinical Psychologist
Primary
LP3254
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080471780
MN CARE
MN
01
—
377L5BO
BCBS
MN
01
—
41-1576550
BHP
MN
01
—
6145944
UBH
MN
01
—
HP29566
HEALTHPARTNERS
MN
Enumeration date
10/10/2006
Last updated
05/25/2017
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