Camille Lynn Boyd
Individual provider Active NPI Speech-Language Pathologist · VA Beach, VA
NPI 1427677285 · NPPES record last updated Oct 15, 2021
Key facts
- NPI
- 1427677285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202003254 (VA)
- Practice address
- 3991 Marina Lake Rd Apt 116
VA Beach, VA 23452-2029 - Phone
- (203) 435-0906
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002368 | CT | MD | Speech-Language Pathologist |
| 2202003254 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002368 | CT | |
| Speech-Language Pathologist | 235Z00000X | 2202003254 | VA | Yes |
Addresses
Primary practice location
3991 Marina Lake Rd Apt 116
VA Beach, VA 23452-2029
Mailing address
3991 Marina Lake Rd Apt 116
VA Beach, VA 23452-2029
Phone (203) 435-0906
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | camille.boyd@presencelearning.com | Direct | |
| CONNECT URL | Norfolk | Direct | Norfolk Public Schools |
| CONNECT URL | Norfolk | Direct | Norfolk Public Schools |
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All providers in VA Beach, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2021. 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.