Provider Demographics
NPI:1558709311
Name:BOYD, ALLISON (MT-BC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 MARIETTA HWY
Mailing Address - Street 2:STE. 630-132
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-6755
Mailing Address - Country:US
Mailing Address - Phone:678-637-7293
Mailing Address - Fax:
Practice Address - Street 1:880 MARIETTA HWY
Practice Address - Street 2:STE. 630-132
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-6755
Practice Address - Country:US
Practice Address - Phone:678-637-7293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist