Healthcare Provider Details

I. General information

NPI: 1821908096
Provider Name (Legal Business Name): EMMA RAE BOYD MA, EDS, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

747 WOOD DUCK CT
MIDDLETOWN DE
19709-6114
US

IV. Provider business mailing address

747 WOOD DUCK CT
MIDDLETOWN DE
19709-6114
US

V. Phone/Fax

Practice location:
  • Phone: 302-373-8695
  • Fax:
Mailing address:
  • Phone: 302-373-8695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number70703
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: