Organization
JERRY E. BOYER, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY EDWIN BOYER (PRESIDENT)
(717) 248-1174
Entity
Organization
Contact information
Practice address
47 CHESTNUT ST, LEWISTOWN, PA 17044-2202
(717) 248-1174
(717) 248-1175
Mailing address
PO BOX 1111, LEWISTOWN, PA 17044-3111
(717) 248-1174
(717) 248-1175
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS002678L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03106000
CBC GROUP ID
PA
Enumeration date
02/21/2007
Last updated
08/22/2020
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