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Contact Information

AMBER BOYD
1212 REYNOLDS AVE
POTEAU, OK74953-4724
 Phone: 918-649-0172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for AMBER BOYD · (Female)

NPI Number 1457996423
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2019
Last updated 05/13/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 2395
  • OK License # 7398
  • TX License # 101401
  • OK Medicaid 000000000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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