Provider Demographics
NPI:1700659331
Name:BOYD, DUANE A (LMFT)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:A
Last Name:BOYD
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11180 W 44TH AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2513
Mailing Address - Country:US
Mailing Address - Phone:720-465-1919
Mailing Address - Fax:
Practice Address - Street 1:11180 W 44TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2513
Practice Address - Country:US
Practice Address - Phone:720-465-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0013953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist