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NPI Code Detail

MEDICARE: MS. ANGELA M BOYD MA, LPC NCC

MEDICARE: MS. ANGELA M BOYD MA, LPC NCC
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
1101YP2500XProfessional CounselorLPC-1731AZ

General Provider Information

NPI Number : 1740746643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA M BOYD MA, LPC NCC
Provider Business Mailing Address
First Line : 2451 E BASELINE RD STE 430
Second Line :
City : GILBERT
State : AZ
Zip : 85234-2473
Country : US
Telephone Number : 602-313-4391
Fax Number :
Provider Business Practice Location Address
First Line : 2451 E BASELINE RD STE 430
Second Line :
City : GILBERT
State : AZ
Zip : 85234-2473
Country : US
Telephone Number : 602-313-4391
Fax Number : 480-699-4427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2019
Last Update Date : 09/24/2025

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