Provider Demographics
NPI:1932305729
Name:BOYD, WILLIAM HEARD
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HEARD
Last Name:BOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ENGLESIDE TER
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1229
Mailing Address - Country:US
Mailing Address - Phone:203-610-2850
Mailing Address - Fax:203-227-3710
Practice Address - Street 1:TEMENOS INSTITUTE
Practice Address - Street 2:29 EAST MAIN STREET
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880
Practice Address - Country:US
Practice Address - Phone:203-227-4388
Practice Address - Fax:203-227-3710
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist