| Doctor Name: | MARCIA O'BOYLE |
| NPI Number: | 1447324835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 1603-123 |
| Business Practice Address: | 5594 N Hollywood Ave Whitefish Bay, WI - 532175208 |
| Business Phone Number: | 4149670153 |
| Business Fax Number: | 4149670696 |
| Mailing Address: | 4361 N Morris Blvd, SHOREWOOD |
| State: | WI |
| Postal Code: | 532111547 |
| Phone Number: | 4143323973 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1603-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |