Individual
PHAIDRA C. BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 CUTLEAF CREEK RD, GRAYSON, GA 30017-4166
(678) 920-0507
Mailing address
2025 CUTLEAF CREEK RD, GRAYSON, GA 30017-4166
(678) 920-0507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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