Dr Marisa Christina Boylan, PSYD is a
Psychologist - Clinical based in San Diego, California. Dr Marisa Christina Boylan is licensed to practice in California (license number PSY29325) and her current practice location is
12625 High Bluff Dr Ste 105, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 432-3030.
NPI number for Dr Marisa Christina Boylan is 1285865980 and her current mailing address is 12625 High Bluff Dr Ste 105, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285865980.
Healthcare Provider's Profile
| Full Name | Dr Marisa Christina Boylan |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 12625 High Bluff Dr Ste 105, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285865980
- Provider Enumeration Date: 07/30/2009
- Last Update Date: 01/07/2020
Medical Identifiers
Medical identifiers for Dr Marisa Christina Boylan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285865980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY29325 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marisa Christina Boylan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marisa Christina Boylan, PSYD
12625 High Bluff Dr Ste 105,
San Diego, CA 92130-2053
Ph: (858) 432-3030 | Dr Marisa Christina Boylan, PSYD
12625 High Bluff Dr Ste 105,
San Diego, CA 92130-2053
Ph: (858) 432-3030 |
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