Provider Demographics
NPI:1720367576
Name:BOYKIN, YVONNE M
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:M
Last Name:BOYKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 WOODSDALE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2247
Mailing Address - Country:US
Mailing Address - Phone:302-571-0177
Mailing Address - Fax:302-571-0177
Practice Address - Street 1:1514 WOODSDALE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-2247
Practice Address - Country:US
Practice Address - Phone:302-571-0177
Practice Address - Fax:302-571-0177
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health