Provider Demographics
NPI:1417240565
Name:BOYTS, AMY J
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:BOYTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:J
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 COLBY AVENUE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084
Mailing Address - Country:US
Mailing Address - Phone:856-361-2710
Mailing Address - Fax:856-346-3627
Practice Address - Street 1:1 COLBY AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1000
Practice Address - Country:US
Practice Address - Phone:856-361-2710
Practice Address - Fax:856-346-3627
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor