Pamela Traylor Boykin, M.ED.
Individual provider Active NPI Speech-Language Pathologist · Farmington, MI
NPI 1306348941 · NPPES record last updated Feb 28, 2018
Key facts
- NPI
- 1306348941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101000088 (MI)
- Practice address
- 32715 Grand River Ave
Farmington, MI 48336-3113 - Phone
- (313) 892-0543
- Fax
- (313) 892-0543
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101000088 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101000088 | MI | Yes |
Addresses
Primary practice location
32715 Grand River Ave
Farmington, MI 48336-3113
Mailing address
32715 Grand River Ave
Farmington, MI 48336-3113
Phone (248) 427-1310
Other names
- Mrs. Pamela Traylor Boykin
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All providers in Farmington, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.