Individual
TARA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 W CHARLESTON BLVD STE 70, LAS VEGAS, NV 89102-1928
(702) 823-3910
Mailing address
6335 ANNIE OAKLEY DR, 168, LAS VEGAS, NV 89120-3930
(702) 468-6260
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
MI4055
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700046372
—
NV
Enumeration date
06/28/2013
Last updated
05/03/2022
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