Individual provider · Type 1 NPI

Tara Boyd, BS, CCLS

Specialist · Brockton, MA

NPI number 1639422900 Active

Practice location

1115 W Chestnut St
Brockton, MA 02301-7501

Call (508) 791-4976 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25874 (MA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639422900

Tara Boyd, BS, CCLS's National Provider Identifier is 1639422900, issued on Oct 23, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockton, MA. The record was last updated on Oct 23, 2012.