Provider Demographics
NPI:1376735266
Name:BOYD, ROY JUSTIN (PHD; PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:JUSTIN
Last Name:BOYD
Suffix:
Gender:M
Credentials:PHD; PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9810 PATUXENT WOODS DR
Mailing Address - Street 2:SUITE K
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1595
Mailing Address - Country:US
Mailing Address - Phone:443-923-7755
Mailing Address - Fax:410-309-1573
Practice Address - Street 1:9810 PATUXENT WOODS DR
Practice Address - Street 2:SUITE K
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1595
Practice Address - Country:US
Practice Address - Phone:443-923-7755
Practice Address - Fax:410-309-1573
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MD05187103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor