NPI 1316010077 · live from the CMS NPI Registry
Ralph Dewey Boynton, Ph.D
Psychologist, Clinical in Roswell, GA. National Provider Identifier 1316010077, active.
NPI record
| NPI | 1316010077 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1115 Upper Hembree Rd, Suite B, Roswell, GA 30076 |
| Practice phone | 770-754-6101 |
| Mailing address | 1115 Upper Hembree Road, Suite B, Roswell, GA 30076 |
| Enumerated | November 17, 2006 |
| Last updated | July 19, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 001332 (GA) |
| Marriage & Family Therapist | 106H00000X | 000252 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.