Provider Demographics
NPI:1821492448
Name:BOYD, SHARON WENDY (LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:WENDY
Last Name:BOYD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:WENDY
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2304 PATWYNN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2731
Mailing Address - Country:US
Mailing Address - Phone:302-529-0220
Mailing Address - Fax:
Practice Address - Street 1:2304 PATWYNN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-2731
Practice Address - Country:US
Practice Address - Phone:302-529-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000678101Y00000X, 101YM0800X, 101YP2500X, 101YS0200X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist