Provider Demographics
NPI:1902428444
Name:MORGAN-BOYD, TAMARA (BCNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:MORGAN-BOYD
Suffix:
Gender:F
Credentials:BCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-2127
Mailing Address - Country:US
Mailing Address - Phone:314-562-6442
Mailing Address - Fax:
Practice Address - Street 1:6000 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-4402
Practice Address - Country:US
Practice Address - Phone:618-641-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath