Provider Demographics
NPI:1053961839
Name:BOYD, KRISTIN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 S SILVER STAR WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2622
Mailing Address - Country:US
Mailing Address - Phone:714-272-1208
Mailing Address - Fax:
Practice Address - Street 1:360 E 1ST ST # 238
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3211
Practice Address - Country:US
Practice Address - Phone:714-905-9093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT135236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist