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General NPI Number Information
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NPI Number | 1467705855
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Entity Type | Individual
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Provider Name | DEBRA LYNNE BOYD PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 4883 W CHESTER PIKE
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-2213
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Country | US
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Telephone | 610-383-0239
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Fax |
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Provider Business Mailing Address
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Address Line | 226 RUTLEDGE AVE
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City | RUTLEDGE
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State | PA
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Zip | 19070-2119
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Country | US
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Telephone | 713-505-0482
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS017391
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License Number State | PA
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