Boyd, Robert Samuel

Boyd, Robert Samuel is an sole proprietor health care provider with primary practice located at 4 Shackleford Plz Suite 103, Little Rock AR 72211-1840. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boyd, Robert Samuel can be contacted via phone (501) 224-7626.

Contact Information

Primary practice address
4 Shackleford Plz Suite 103 Little Rock AR 72211-1840
Phone: (501) 224-7626
Fax: (501) 224-5048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 77-1P Arkansas

Profile Details

NPI number 1801855952
LBN Legal business name Boyd, Robert Samuel
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated Apr 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801855952 NPPES
Arkansas MEDICAID 123156719

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