Doctor Name: | MRS. JESSICA L BOYD |
NPI Number: | 1942505276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 22004057A |
Business Practice Address: | 273 S Main Cross St Hanover, IN - 472439309 |
Business Phone Number: | 8128664368 |
Business Fax Number: | |
Mailing Address: | 112 Holt Dr, MADISON |
State: | IN |
Postal Code: | 472503873 |
Phone Number: | 8122658226 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004057A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |