Individual
DR. JERRY L. BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 18TH ST, CHARLESTON, IL 61920-3612
(217) 348-7911
(217) 348-3909
Mailing address
1901 18TH ST, P.O. BOX 406, CHARLESTON, IL 61920-3612
(217) 348-7911
(217) 348-3909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
10/23/2005
Last updated
07/08/2007
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