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NPI Code Detail

MEDICARE: MS. ANGELA JEAN-MARIE BOYD

MEDICARE: MS. ANGELA JEAN-MARIE BOYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1285778878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA JEAN-MARIE BOYD
Provider Business Mailing Address
First Line : 3213 LEMON AVE
Second Line :
City : SIGNAL HILL
State : CA
Zip : 90755-5124
Country : US
Telephone Number : 310-221-6336
Fax Number :
Provider Business Practice Location Address
First Line : 1501 HUGHES WAY
Second Line : SUITE 150
City : LONG BEACH
State : CA
Zip : 90810-1876
Country : US
Telephone Number : 310-221-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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