Doctor Name: | CHYNETHIA BOYD |
NPI Number: | 1083921324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.B.A., RAS |
License Number: | |
Business Practice Address: | 637 E Albertoni St Suite 200 Carson, CA - 907461539 |
Business Phone Number: | 3102170616 |
Business Fax Number: | 3102170545 |
Mailing Address: | 637 E Albertoni St, Suite 200 CARSON |
State: | CA |
Postal Code: | 907461539 |
Phone Number: | 3102170616 |
Fax Number: | 3102170545 |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 09/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |