NPI 1467149807 · live from the CMS NPI Registry
Alaina Boyle
Speech-Language Pathologist, in Jefferson City, MO. National Provider Identifier 1467149807, active.
NPI record
| NPI | 1467149807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 205 Jefferson St, Jefferson City, MO 65101 |
| Practice phone | 845-505-3860 |
| Mailing address | 14518 W 91st St, Lenexa, KS 66215 |
| Enumerated | April 18, 2023 |
| Last updated | April 18, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 3782 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.