Kendal C Boyd, PHD | |
11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 | |
(909) 558-8706 | |
Not Available |
Full Name | Kendal C Boyd |
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Gender | Male |
Speciality | Psychologist |
Location | 11130 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235240490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY20626 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
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Kendal C Boyd, PHD 54701 File Number, Los Angeles, CA 90074-4701 Ph: (909) 558-3111 | Kendal C Boyd, PHD 11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 Ph: (909) 558-8706 |
Dr. Krystal Gregg, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Deborah Elizabeth Kessel Tallungan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Behavioral Medicine Service (116a), Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Diane E. Bunker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Jerry L. Pettis Vamc, 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Tori R. Van Dyk, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11130 Anderson St, Loma Linda, CA 92350 Phone: 909-553-7412 | |
Jonathan Patrick Dougherty, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
David A Vermeersch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 11130 Anderson St, Ste 117, Loma Linda, CA 92354 Phone: 909-558-8706 | |
Dorie-mae Nicolas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11441 San Juan St, Loma Linda, CA 92354 Phone: 917-562-1885 |