Provider Demographics
NPI:1972774289
Name:BOYKIN, ALBERT FRANCIS (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:FRANCIS
Last Name:BOYKIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1596
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92235-1596
Mailing Address - Country:US
Mailing Address - Phone:877-777-2437
Mailing Address - Fax:877-777-2437
Practice Address - Street 1:73301 HIGHWAY 111
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3924
Practice Address - Country:US
Practice Address - Phone:877-777-2437
Practice Address - Fax:877-777-2437
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS17182174400000X
CAMFC28283174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist