Doctor Name: | LESLEY LARABY BOYKIN |
NPI Number: | 1447540455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DSPA, CCC-SLP |
License Number: | |
Business Practice Address: | 318 Kerby Rd Grosse Pointe Farms, MI - 482363138 |
Business Phone Number: | 3139807515 |
Business Fax Number: | |
Mailing Address: | 318 Kerby Rd, GROSSE POINTE FARMS |
State: | MI |
Postal Code: | 482363138 |
Phone Number: | 3139807515 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2011 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |