Neal, Mary Boyd

Neal, Mary Boyd is an individual health care provider with primary practice located at 320 High Tide Dr Suite 101, St Augustine FL 32080-2323. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Neal, Mary Boyd can be contacted via phone (904) 392-1704.

Contact Information

Primary practice address
320 High Tide Dr Suite 101 St Augustine FL 32080-2323
Phone: (904) 392-1704
Fax: (904) 460-0068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2223 Florida

Profile Details

NPI number 1508075789
LBN Legal business name Neal, Mary Boyd
Credentials PH.D., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 25th, 2009 - about 17 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 1508075789 NPPES
Florida Other 510603971 FEIN

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