Provider Demographics
NPI:1104987031
Name:BOYD, HARRY S (PHD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:S
Last Name:BOYD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CHAUTAUQUA AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5508
Mailing Address - Country:US
Mailing Address - Phone:405-364-3146
Mailing Address - Fax:405-364-1456
Practice Address - Street 1:909 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5229
Practice Address - Country:US
Practice Address - Phone:405-573-3924
Practice Address - Fax:405-360-5100
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical