Wellformed AI

NPI 1578694352 · live from the CMS NPI Registry

Lissa Lynne Boyd, MA, CCC-SLP

Speech-Language Pathologist, in Topeka, KS. National Provider Identifier 1578694352, active.

NPI record

NPI1578694352 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location2701 Sw Randolph Ave, Topeka, KS 66611
Practice phone785-232-0597
Mailing address302 Falcon Ct, Silver Lake, KS 66539
EnumeratedMarch 7, 2007
Last updatedJuly 8, 2007
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X882 (KS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.