Provider Demographics
NPI:1386375921
Name:BOYNTON, SHERYL LYNN (MA, LLP)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNN
Last Name:BOYNTON
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:MRS
Other - First Name:SHERYL
Other - Middle Name:LYNN
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:320 COLUMBUS AVENUE
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417
Mailing Address - Country:US
Mailing Address - Phone:616-607-4476
Mailing Address - Fax:833-231-4270
Practice Address - Street 1:320 COLUMBUS AVENUE
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417
Practice Address - Country:US
Practice Address - Phone:616-607-4476
Practice Address - Fax:833-231-4270
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361000513103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling