Provider Demographics
NPI:1104150036
Name:BOYCE, REGINA R (NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:R
Last Name:BOYCE
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2332
Mailing Address - Country:US
Mailing Address - Phone:215-489-7101
Mailing Address - Fax:
Practice Address - Street 1:54 HICKORY LN
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2332
Practice Address - Country:US
Practice Address - Phone:215-489-7101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional