Provider Demographics
NPI:1790978534
Name:LEVY-BOYD, SONYA DYANI (MSW)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:DYANI
Last Name:LEVY-BOYD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 3RD ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0714
Mailing Address - Country:US
Mailing Address - Phone:707-268-3375
Mailing Address - Fax:
Practice Address - Street 1:1711 3RD ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0714
Practice Address - Country:US
Practice Address - Phone:707-268-3375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW656631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical