Provider Demographics
NPI:1932079969
Name:BOYD, AEJA MARIE (LAPC)
Entity type:Individual
Prefix:
First Name:AEJA
Middle Name:MARIE
Last Name:BOYD
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11272 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1820
Mailing Address - Country:US
Mailing Address - Phone:412-680-0302
Mailing Address - Fax:
Practice Address - Street 1:1177 S 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3759
Practice Address - Country:US
Practice Address - Phone:724-427-5648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001842101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health