MEDICARE: DR. STEPHEN JOSEPH BOYD PHD,LPCC,LMFT,NCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	#0434	KY
2	103T00000X	Psychologist	#1173	OK
3	101YM0800X	Mental Health Counselor	#0001744	OH

General Provider Information

NPI Number	:	1326259607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN JOSEPH BOYD PHD,LPCC,LMFT,NCP

Provider Business Mailing Address
First Line	:	PO BOX 54425
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45254-0425
Country	:	US
Telephone Number	:	513-231-9863
Fax Number	:	513-231-8227

Provider Business Practice Location Address
First Line	:	4030 MOUNT CARMEL TOBASCO RD
Second Line	:	SUITE 326
City	:	CINCINNATI
State	:	OH
Zip	:	45255-3400
Country	:	US
Telephone Number	:	513-528-3838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	04/27/2014

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