Provider Demographics
NPI:1023367232
Name:TORNE-BOYD, MELVA (LP, LPC)
Entity Type:Individual
Prefix:DR
First Name:MELVA
Middle Name:
Last Name:TORNE-BOYD
Suffix:
Gender:F
Credentials:LP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 N GENERAL MCMULLEN DR STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6299
Mailing Address - Country:US
Mailing Address - Phone:210-434-1054
Mailing Address - Fax:
Practice Address - Street 1:590 N GENERAL MCMULLEN DR STE 3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6299
Practice Address - Country:US
Practice Address - Phone:210-434-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63553101YP2500X
TX38312103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional