Provider Demographics
NPI:1487335014
Name:BOYARS, MICHAL Y (PHD, NCSP)
Entity type:Individual
Prefix:DR
First Name:MICHAL
Middle Name:Y
Last Name:BOYARS
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8809 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2708
Mailing Address - Country:US
Mailing Address - Phone:773-899-0724
Mailing Address - Fax:
Practice Address - Street 1:8720 GEORGIA AVE STE 606
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3602
Practice Address - Country:US
Practice Address - Phone:301-565-0534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD62097103TS0200X
MD06662103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool