Doctor Name: | MR. WILLIAM MACNAUGHTON BOYLIN |
NPI Number: | 1033183975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 0039 |
Business Practice Address: | 6 Way Rd Middlefield, CT - 064551080 |
Business Phone Number: | 8603497033 |
Business Fax Number: | |
Mailing Address: | 1228 Arbutus St, DURHAM |
State: | CT |
Postal Code: | 064221702 |
Phone Number: | 8603497033 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2006 |
NPI Last Update Date: | 04/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0039 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |