Provider Demographics
NPI:1366810111
Name:BOYD, ALLISON LH (MS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LH
Last Name:BOYD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:HEBNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1 LONG WHARF DR
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5991
Mailing Address - Country:US
Mailing Address - Phone:203-688-2800
Mailing Address - Fax:203-688-2806
Practice Address - Street 1:1 LONG WHARF DR
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5991
Practice Address - Country:US
Practice Address - Phone:203-688-2800
Practice Address - Fax:203-688-2806
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000663170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS