Shanda Boddie in Tyler - Speech-language Assistant
Shanda Boddie - NPI 1750568135
Shanda Boddie is a Speech-language Assistant in Tyler, Texas. Shanda Boddie practices all healthcare services and medical treatments related to Speech-language Assistant. The NPI Number for Shanda Boddie is 1750568135. The last update date is 2008-01-28.
Shanda Boddie's current location address is 4801 Troup Hwy, Tyler, Texas. You can contact this provider via phone number 9039392800. The mailing address for Shanda Boddie is 4801 Troup Hwy, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanda Boddie |
|---|---|
| Address | 4801 Troup Hwy, Tyler, Texas |
| Phone Number | 9039392800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750568135 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 4801 Troup Hwy |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757032356 |
| Phone Number | 9039392800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Assistant |
|---|---|
| Taxonomy | 2355S0801X |
| Licence No | 32265 |
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Definition: Assists speech-language pathologists in providing communication and swallowing healthcare services. |
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What is the unique provider identifier assigned to Shanda Boddie?
The Shanda Boddie has been issued the NPI (National Provider Identifier) 1750568135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shanda Boddie located?
The Shanda Boddie is located at 4801 Troup Hwy, Tyler, TX 757032356.
What is the area of specialization for Shanda Boddie, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shanda Boddie is Speech-language Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 2355S0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750568135 to Shanda Boddie?
The Centers for Medicare & Medicaid Services assigned the 1750568135 to Shanda Boddie on 2008-01-28.
When was the information related to Shanda Boddie most recently updated or refreshed?
The details pertaining to the Shanda Boddie, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-28.