Healthcare Provider Details

I. General information

NPI: 1073914933
Provider Name (Legal Business Name): AMBER BOYD M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 TELEGRAPH AVE # C
OAKLAND CA
94609-2418
US

IV. Provider business mailing address

1714 FRANKLIN ST # 100-171
OAKLAND CA
94612-3488
US

V. Phone/Fax

Practice location:
  • Phone: 510-463-4107
  • Fax:
Mailing address:
  • Phone: 510-463-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number102354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: