Susan Margaret Boyan, MFT
Individual provider Active NPI Marriage & Family Therapist · Brookhaven, GA
NPI 1124416516 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1124416516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000369 (GA)
- Practice address
- 1936 N Druid Hills Rd NE Ste a
Brookhaven, GA 30319-4131 - Phone
- (404) 273-3370
- Fax
- (404) 982-0006
- NPI assigned
- Jan 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000369 | GA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boyan LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000369 | GA | Yes |
Addresses
Primary practice location
1936 N Druid Hills Rd NE Ste a
Brookhaven, GA 30319-4131
Mailing address
1936 N Druid Hills Rd NE Ste a
Brookhaven, GA 30319-4131
Phone (404) 273-3370
Other providers in Brookhaven, GA
- Robert John Borsom III
- Michaela Bostick
- Bouba Commerce LLC
- Boutiquegyn Wellness Center
- Barbara Blair Bowers
- Maliek Boyd
- Megan V Boyd
- Shawna Taylor Boyd
- Caroline M. Brackette
- Troy Bradley
All providers in Brookhaven, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.