Provider Demographics
NPI:1891686036
Name:BOYLAN, JONAY
Entity type:Individual
Prefix:
First Name:JONAY
Middle Name:
Last Name:BOYLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 GEORGIA AVE APT 706
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5243
Mailing Address - Country:US
Mailing Address - Phone:301-259-1278
Mailing Address - Fax:
Practice Address - Street 1:9900 GEORGIA AVE APT 706
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5243
Practice Address - Country:US
Practice Address - Phone:301-960-8694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLGPC200012498OtherDC DEPARTMENT OF HEALTH