Individual
ANGELA BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14576 111TH AVE N, MAPLE GROVE, MN 55369-9300
(559) 273-3410
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6781
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08154
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/16/2005
Last updated
12/05/2024
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