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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLA BOSTON, PSYD

Active Sole Proprietor

WILLA BOSTON, PSYD is a Clinical Psychologist healthcare provider located in BLUE RIDGE, Georgia. NPI 1700259553 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · BLUE RIDGE, GA

Registration Details

NPI Number
1700259553
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2015 (10.75911553568 yrs)
Last Updated
Dec 20, 2015
Licenses
PSY003953 (GA)
PSY003953 (GA)
Sole Proprietor
Yes

Practice Information

Address
9757 BLUE RIDGE DR
BLUE RIDGE, GA, 305134167
Browse GA providers · Browse ZIP 30513
Phone
7064552490
Fax
7069466574
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in BLUE RIDGE, GA

Name Credential NPI
DR. KYLE DAVID RAQUE PSY.D. 1790863900
DR. KENNETH BRADFORD CARPENTER PSYD 1912315987
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.