Jerry L. Boyd is a Clinical in Charleston, Illinois. Jerry L. Boyd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry L. Boyd is 1851381792. The last update date is 2007-07-08.
Jerry L. Boyd's current location address is 1901 18th St, Charleston, Illinois. You can contact this provider via phone number 2173487911 and fax number 2173483909. The mailing address for Jerry L. Boyd is 1901 18th St, Charleston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry L. Boyd |
|---|---|
| Address | 1901 18th St, Charleston, Illinois |
| Phone Number | 2173487911 |
| Fax Number | 2173483909 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1851381792 |
|---|---|
| Provider Enumeration Date | 2005-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1901 18th St |
|---|---|
| City | Charleston |
| State | Illinois (IL) |
| Post Code | 619203612 |
| Phone Number | 2173487911 |
| Fax Number | 2173483909 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the Jerry L. Boyd's unique identification number?
The Jerry L. Boyd has been assigned the NPI (National Provider Identifier) Number 1851381792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jerry L. Boyd's facilities are geographically located?
The facilities of Jerry L. Boyd are physically situated at the following location: 1901 18Th St, Charleston, IL, 619203612.
What is Jerry L. Boyd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry L. Boyd's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Jerry L. Boyd receive its 1851381792 assignment?
The Jerry L. Boyd was assigned its 1851381792 on 2005-10-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jerry L. Boyd last refreshed?
The information related to the Jerry L. Boyd, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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