Sydney Janine Boyum, MASTER'S OF SCIENCE

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2012 Harobi Dr Ste a
Tucker, GA 30084-5161

Phone

(678) 892-6878

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1184317190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BERKELEY AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187662",
            "telephone_number": "910-465-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HAROBI DR STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845161",
            "telephone_number": "678-892-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYUM",
        "first_name": "SYDNEY",
        "middle_name": "JANINE",
        "credential": "MASTER'S OF SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie Bolton, MA, CF-SLP
• Deirdre Bonaparte, MA, CCC-SLP
• Hannah Joy Boos, MA, LPC, NCC, CPTT
• William Alfred Bower, M.D.
• Malika A. Boyd, LCSW
• Hafsa Ahmed Bradford, APC
• Alexcius Branch
• Joseph Olem Brannen, DDS
• Daniel Scott Braun, LCSW
• Tiffany Brennaman, LCSW

• Speech-Language Pathologist in Tucker, GA
• Providers in Tucker, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.