Provider Demographics
NPI:1497796197
Name:BOYKIN, RONALD LLOYD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LLOYD
Last Name:BOYKIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 LENOX RD APT 1F
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5234
Mailing Address - Country:US
Mailing Address - Phone:516-426-8886
Mailing Address - Fax:
Practice Address - Street 1:55 LENOX RD APT 1F
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5234
Practice Address - Country:US
Practice Address - Phone:516-426-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009118103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist