Doctor Name: | LISA JOY BOIKE |
NPI Number: | 1639599095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S., M.A., CCC-SLP |
License Number: | 7101000978 |
Business Practice Address: | 42536 Hayes Rd Ste 100 Clinton Twp, MI - 480383644 |
Business Phone Number: | 5862869644 |
Business Fax Number: | 5862869647 |
Mailing Address: | 42536 Hayes Rd Ste 100, CLINTON TWP |
State: | MI |
Postal Code: | 480383644 |
Phone Number: | 5862869644 |
Fax Number: | 5862869647 |
NPI Enumeration Date: | 04/23/2014 |
NPI Last Update Date: | 04/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101000978 |
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 |