DR. JESSICA BOISJOLI LEBOEUF


Address: 824 Historian St, Raleigh, NC 27603-3489
Phone: 9192741988

DR. JESSICA BOISJOLI LEBOEUF (NPI# 1720454549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720454549
Entity Type Individual
Full Name DR. JESSICA BOISJOLI LEBOEUF
Practice Address 824 Historian St
Raleigh
NC 27603-3489
Practice Telephone 9192741988
Mailing Telephone 9192741988
Enumeration Date 2015-08-16
Last Update Date 2015-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
4215 NC Behavioral Health & Social Service Providers
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
4215 NC Behavioral Health & Social Service Providers

Office Location

Street Address 824 HISTORIAN ST
City RALEIGH
State NC
Zip Code 27603-3489

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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Competitor

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City RALEIGH
Zip Code 27603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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