Doctor Name: | DR. CYNTHIA L BOYKIN |
NPI Number: | 1710022298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 2413-057 |
Business Practice Address: | 203 United Way Drive Frederic, WI - 548378938 |
Business Phone Number: | 7153274402 |
Business Fax Number: | |
Mailing Address: | 203 United Way Drive, FREDERIC |
State: | WI |
Postal Code: | 548378938 |
Phone Number: | 7153274402 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2413-057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |