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Tyrell Boydston, LMSW
NPI 1417306861 · on the registry since 2016 · sole proprietor
Practice
- Address
- 30150 Telegraph Rd Ste 245
Bingham Farms, MI 48025 - Phone
- (800) 693-1916
- Fax
- (248) 605-3525
- Organisation at this address
- Dme Source Llc
Mms Audiology Llc
S D Consulting Inc
Michigan Imaging, Llc
Michigan Imaging, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan