Provider Demographics
NPI:1780446682
Name:BOYD, DAYLIN RAY (AMFT)
Entity type:Individual
Prefix:MR
First Name:DAYLIN
Middle Name:RAY
Last Name:BOYD
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 LEFEVRE DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6191
Mailing Address - Country:US
Mailing Address - Phone:916-370-5432
Mailing Address - Fax:
Practice Address - Street 1:850 IRON POINT RD STE 108
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9010
Practice Address - Country:US
Practice Address - Phone:916-932-6929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144346106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist