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General NPI Number Information
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NPI Number | 1053721308
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Entity Type | Individual
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Provider Name | CATHERINE BOYD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2074 GALISTEO ST STE B4
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City | SANTA FE
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State | NM
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Zip | 87505-2157
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Country | US
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Telephone | 505-236-4626
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Fax | 575-694-6810
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Provider Business Mailing Address
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Address Line | 1805 ARBOLITOS LN
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City | SANTA FE
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State | NM
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Zip | 87506-5009
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Country | US
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Telephone | 505-670-8264
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD2018-0673
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License Number State | NM
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