| Sharla Boyd, Ph.d., Pllc | |
|
6824 Wayne Ave Ste 1 Lubbock TX 79424-1649 | |
| (806) 414-3616 | |
| (806) 203-3297 |
| Full Name | Sharla Boyd, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6824 Wayne Ave Ste 1, Lubbock, Texas |
| Authorized Official Name and Position | Sharla Boyd (OWNER) |
| Authorized Official Contact | 8064143616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharla Boyd, Ph.d., Pllc 6614 Bangor Ave Lubbock TX 79424-1504 Ph: (806) 414-3616 | Sharla Boyd, Ph.d., Pllc 6824 Wayne Ave Ste 1 Lubbock TX 79424-1649 Ph: (806) 414-3616 |
| NPI Number | 1992215503 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 0143587287 |
|---|---|
| Medicare Enrollment ID | O20171128003068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992215503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 32168 (Texas) | Primary |
| Provider Name | Sharla Ann Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639689003 PECOS PAC ID: 1052678190 Enrollment ID: I20171128003184 |
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