Doctor Name: | MRS. JENNIFER LYDIA DOYLE |
NPI Number: | 1669640256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DOCTOR, L.P.C. |
License Number: | 1699 |
Business Practice Address: | 1602 Highway 17 S North Myrtle Beach, SC - 295823948 |
Business Phone Number: | 8433851595 |
Business Fax Number: | |
Mailing Address: | Po Box 2178, MYRTLE BEACH |
State: | SC |
Postal Code: | 295782178 |
Phone Number: | 8433851595 |
Fax Number: | 8433470447 |
NPI Enumeration Date: | 02/15/2008 |
NPI Last Update Date: | 02/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1699 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |