Individual provider · Type 1 NPI
Daniel Theodore Boeder
Child & Adolescent Psychiatry Physician · Quincy, IL
NPI number
1669039822
Active
Practice location
927 Broadway St
Quincy, IL 62301-2719
Fax (217) 224-9383
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Other practice locations
- 319 E Madison St Fl 3, Springfield, IL 62701-1035 · (217) 545-6900
- 100 Medical Dr, Hannibal, MO 63401-6877 · (573) 221-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2025030304 (MO) |
| Psychiatry Physician | 2084P0800X | 036168173 (IL) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 036168173 (IL) |
| Psychiatry Physician | 2084P0800X | 2025030304 (MO) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1669039822
Daniel Theodore Boeder's National Provider Identifier is 1669039822, issued on May 23, 2019. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Quincy, IL. The record was last updated on Aug 27, 2026.