Provider Demographics
NPI:1891682761
Name:BOYCE, ELIZABETH ROSE MARIE
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROSE MARIE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1537
Mailing Address - Country:US
Mailing Address - Phone:610-568-4136
Mailing Address - Fax:
Practice Address - Street 1:5 HEARTHSTONE CT STE 105
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3055
Practice Address - Country:US
Practice Address - Phone:484-509-1408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health