Provider Demographics
NPI:1831405869
Name:BOYCE, MARIETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIETTE
Middle Name:
Last Name:BOYCE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6834 XANA WAY
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6030
Mailing Address - Country:US
Mailing Address - Phone:619-512-9123
Mailing Address - Fax:619-519-7079
Practice Address - Street 1:1991 VILLAGE PARK WAY
Practice Address - Street 2:STE. 100
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1994
Practice Address - Country:US
Practice Address - Phone:619-512-9123
Practice Address - Fax:619-519-7079
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25424103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical