Individual
MALIK BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 S 56TH STREET, COMM, PHILADELPHIA, PA 19143
(267) 930-2274
Mailing address
324 S 56TH STREET, COMM, PHILADELPHIA, PA 19143
(267) 930-2274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
171W00000X
Contractor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2023
Last updated
04/25/2023
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