Provider Demographics
NPI:1194432559
Name:BOYD, TOMASINA (LPC, NCC, CCLS)
Entity type:Individual
Prefix:
First Name:TOMASINA
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:LPC, NCC, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 NORTHERN PIKE STE 201
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2720
Mailing Address - Country:US
Mailing Address - Phone:412-818-2799
Mailing Address - Fax:
Practice Address - Street 1:4232 NORTHERN PIKE STE 201
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2720
Practice Address - Country:US
Practice Address - Phone:412-663-0062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional