Christopher D. Boyle
Individual provider Active NPI Clinical Psychologist · Goldsboro, NC
NPI 1780763003 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1780763003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1612 (NC)
- Practice address
- 2400 Wayne Memorial Dr
Suite E
Goldsboro, NC 27534-1789 - Phone
- (919) 736-7900
- Fax
- (919) 736-2424
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 1612 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waynesborough Psychological Services | Past | Accepting new patients | |
| Eastern Nephrology Associates PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1612 | NC | Yes |
Addresses
Primary practice location
2400 Wayne Memorial Dr
Suite E
Goldsboro, NC 27534-1789
Mailing address
2400 Wayne Memorial Dr
Suite E
Goldsboro, NC 27534-1789
Phone (919) 736-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107075 | Medicaid | NC |
Other providers in Goldsboro, NC
- Asia M Boyd
- Erika Boyd
- Jason K Boyd
- Lillian Kizer Boyd
- Shelly Boyd
- Heather B Bradshaw
- Martha Ray Bradshaw
- Bharat Mahendra Brahmbhatt
- Pamela Dawn Branson
- Amy G. E. Brantley
All providers in Goldsboro, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.