NPI 1124416516 · live from the CMS NPI Registry
Susan Margaret Boyan, MFT
Marriage & Family Therapist in Brookhaven, GA. National Provider Identifier 1124416516, active.
NPI record
| NPI | 1124416516 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1936 N Druid Hills Rd Ne Ste A, Brookhaven, GA 30319 |
| Practice phone | 404-273-3370 |
| Enumerated | January 7, 2015 |
| Last updated | January 7, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 000369 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.