Doctor Name: | SHAMEKA L BOYD |
NPI Number: | 1144595281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3442 Cobblestone Dr Spencer, OK - 730843256 |
Business Phone Number: | 4059243575 |
Business Fax Number: | 4056067271 |
Mailing Address: | 3442 Cobblestone Dr, SPENCER |
State: | OK |
Postal Code: | 730843256 |
Phone Number: | 4059243575 |
Fax Number: | 4056067271 |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |