Doctor Name: | MRS. LYNETTE BOYCE DOVER |
NPI Number: | 1104268291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | |
Business Practice Address: | 136 Commercial Dr Forest City, NC - 280432801 |
Business Phone Number: | 8282458886 |
Business Fax Number: | 8282458818 |
Mailing Address: | 136 Commercial Dr, FOREST CITY |
State: | NC |
Postal Code: | 280432801 |
Phone Number: | 8282458886 |
Fax Number: | 8282458818 |
NPI Enumeration Date: | 07/18/2013 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |