Provider Demographics
NPI:1851079412
Name:BOYD, MADELINE JUNE (BA IN PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:JUNE
Last Name:BOYD
Suffix:
Gender:F
Credentials:BA IN PSYCHOLOGY
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Other - Credentials:
Mailing Address - Street 1:991 WYLIE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:WV
Mailing Address - Zip Code:26047-4095
Mailing Address - Country:US
Mailing Address - Phone:304-914-9973
Mailing Address - Fax:
Practice Address - Street 1:2606 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5370
Practice Address - Country:US
Practice Address - Phone:304-242-7060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator