| Doctor Name: | MRS. LA VERNE BOYD |
| NPI Number: | 1013174408 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CASAC |
| License Number: | 9363 |
| Business Practice Address: | Suffolk County Dept. Of Health Bldg #16 No. County Complex Day Reporting Center Hauppauge, NY - 11788 |
| Business Phone Number: | 6318536281 |
| Business Fax Number: | 6318536254 |
| Mailing Address: | Suffolk County Dept Of Health Po Box 6100, Bldg #16 No. County Complex Day Reporting Center HAUPPAUGE |
| State: | NY |
| Postal Code: | 11788 |
| Phone Number: | 6318536281 |
| Fax Number: | 6318536254 |
| NPI Enumeration Date: | 05/22/2008 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 9363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |