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Derrick Boyd, PA

NPI 1962668657 · on the registry since 2008 · sole proprietor

Practice

Address
561 Fairthorne Ave.
Fairmount Behavioral Health System
Philadelphia, PA 19128
Phone
(215) 582-3405
Organisation at this address
Uhs Of Fairmount Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AS0400X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania