Provider Demographics
NPI:1730306366
Name:BOYD, ROZALYN MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:ROZALYN
Middle Name:MARIE
Last Name:BOYD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5053 SW OLGA ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2320
Mailing Address - Country:US
Mailing Address - Phone:206-261-6516
Mailing Address - Fax:
Practice Address - Street 1:1551 NW 54TH ST STE 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3845
Practice Address - Country:US
Practice Address - Phone:206-261-6516
Practice Address - Fax:206-261-6516
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH000010814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health