Provider Demographics
NPI:1891526935
Name:BURNS BOYD, DELISA
Entity type:Individual
Prefix:
First Name:DELISA
Middle Name:
Last Name:BURNS BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BAY DR
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1961
Mailing Address - Country:US
Mailing Address - Phone:908-938-4741
Mailing Address - Fax:
Practice Address - Street 1:144 NORTH RD STE 3450
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1183
Practice Address - Country:US
Practice Address - Phone:978-509-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical