| Doctor Name: | DR. BILLY JOE BOYD |
| NPI Number: | 1063405769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 992 |
| Business Practice Address: | 1140 Mayberry Dr Tahlequah, OK - 744644603 |
| Business Phone Number: | 9184586285 |
| Business Fax Number: | 9184587601 |
| Mailing Address: | 604 S Oak Ave, TAHLEQUAH |
| State: | OK |
| Postal Code: | 744645530 |
| Phone Number: | 9182073898 |
| Fax Number: | 9184587601 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 992 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |