| Doctor Name: | MR. MITCH PAUL BOYKAN |
| NPI Number: | 1508947433 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MASTER OF COUNSELING |
| License Number: | LISAC0749 |
| Business Practice Address: | 11225 North 28th Drive Suite D213 Phoenix, AZ - 85029 |
| Business Phone Number: | 6029934323 |
| Business Fax Number: | 6029930867 |
| Mailing Address: | 3201 West Lane Avenue, PHOENIX |
| State: | AZ |
| Postal Code: | 85051 |
| Phone Number: | 6029735906 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LISAC0749 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |