Individual
NIKKI DEE BOYDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
Mailing address
3712 SW 29TH ST, APT 532, TOPEKA, KS 66614-2157
(785) 224-8871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
974
KS
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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