Doctor Name: | MRS. ELIZABETH BOYD |
NPI Number: | 1013018738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401009544 |
Business Practice Address: | 1570 Suncrest Dr Lapeer, MI - 484461154 |
Business Phone Number: | 8106670500 |
Business Fax Number: | |
Mailing Address: | 1479 Pelican Ln, DAVISON |
State: | MI |
Postal Code: | 484233173 |
Phone Number: | 8106670500 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401009544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |