Dr. Benjamin Daniel Boynton, Ph.D.
Psychologist, Clinical in Tyler, TX. Individual provider (NPI-1).
NPI number1508225145
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1508225145
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Daniel Boynton
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2016
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 34827 | TX | Yes |
| 103G00000X | Clinical Neuropsychologist | 34827 | TX | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 34827 | TX |
Practice location
1810 Shiloh Rd Ste 801Tyler, TX 75703-2457
Phone 903-593-6355 · Fax 903-534-6518
Mailing address
2627 S Broadway Ave Ste 6158Tyler, TX 75701-5405
Phone 903-330-6166 · Fax 903-534-6518
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