Provider Demographics
NPI:1174728588
Name:BOYKINS, DEBORAH FAYE (LPC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:FAYE
Last Name:BOYKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10912 E 75TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2516
Mailing Address - Country:US
Mailing Address - Phone:918-459-0765
Mailing Address - Fax:
Practice Address - Street 1:10912 E 75TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2516
Practice Address - Country:US
Practice Address - Phone:918-459-0765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional