Healthcare Provider Details

I. General information

NPI: 1821492448
Provider Name (Legal Business Name): SHARON WENDY BOYD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON WENDY BOYD LPC

II. Dates (important events)

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

III. Provider practice location address

2304 PATWYNN RD
WILMINGTON DE
19810-2731
US

IV. Provider business mailing address

2304 PATWYNN RD
WILMINGTON DE
19810-2731
US

V. Phone/Fax

Practice location:
  • Phone: 302-529-0220
  • Fax:
Mailing address:
  • Phone: 302-529-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC-0000678
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000678
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000678
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberPC-0000678
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPC-0000678
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: