Carolyn Elizabeth Boudreaux in Grand Rapids - Speech-language Pathologist
Carolyn Elizabeth Boudreaux - NPI 1558536342
Carolyn Elizabeth Boudreaux is a Speech-language Pathologist in Grand Rapids, Michigan. Carolyn Elizabeth Boudreaux practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Carolyn Elizabeth Boudreaux is 1558536342. The last update date is 2008-04-23.
Carolyn Elizabeth Boudreaux's current location address is 2900 Charlevoix Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 8003258064 and fax number 8003251326. The mailing address for Carolyn Elizabeth Boudreaux is 2900 Charlevoix Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Elizabeth Boudreaux |
|---|---|
| Address | 2900 Charlevoix Dr Se, Grand Rapids, Michigan |
| Phone Number | 8003258064 |
| Fax Number | 8003251326 |
| Sole Proprietor | Y |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1558536342 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 2900 Charlevoix Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495467085 |
| Phone Number | 8003258064 |
| Fax Number | 8003251326 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 5663 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identifier code issued to Carolyn Elizabeth Boudreaux by the Centers for Medicare & Medicaid Services?
The Carolyn Elizabeth Boudreaux has been assigned the NPI (National Provider Identifier) 1558536342 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Carolyn Elizabeth Boudreaux's facilities are geographically located?
The facilities of Carolyn Elizabeth Boudreaux are physically situated at the following location: 2900 Charlevoix Dr Se, Grand Rapids, MI, 495467085.
What is Carolyn Elizabeth Boudreaux's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carolyn Elizabeth Boudreaux is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
When did Carolyn Elizabeth Boudreaux receive its 1558536342 assignment?
The Carolyn Elizabeth Boudreaux was assigned its 1558536342 on 2008-04-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Carolyn Elizabeth Boudreaux most recently updated or revised?
The information pertaining to Carolyn Elizabeth Boudreaux, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-23.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC