| Doctor Name: | JEREMY BOYCE |
| NPI Number: | 1003201583 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | P92562 |
| Business Practice Address: | 102 Hackett Blvd Albany, NY - 122091543 |
| Business Phone Number: | 5184311650 |
| Business Fax Number: | |
| Mailing Address: | 60 Academy Rd, Parsons Child And Family Center ALBANY |
| State: | NY |
| Postal Code: | 122083103 |
| Phone Number: | 5184311650 |
| Fax Number: | 5184470429 |
| NPI Enumeration Date: | 04/01/2015 |
| NPI Last Update Date: | 04/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P92562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |