Provider Demographics
NPI:1164431516
Name:BOYD, SUSAN JANE (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:JANE
Last Name:BOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:701 W PRATT ST
Mailing Address - Street 2:3RD FLR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1023
Mailing Address - Country:US
Mailing Address - Phone:410-328-2539
Mailing Address - Fax:410-328-8552
Practice Address - Street 1:201 S CLEVELAND AVE FL 3
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5745
Practice Address - Country:US
Practice Address - Phone:301-745-3777
Practice Address - Fax:833-450-3533
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2025-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0512752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD361710600Medicaid
MD361710600Medicaid