Lucy Boys

Individual provider Active NPI Speech-Language Pathologist · Greeneville, TN

NPI 1740546258 · NPPES record last updated Apr 9, 2012

Key facts

NPI
1740546258
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3048 (TN)
Practice address
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone
(423) 787-5063
NPI assigned
Apr 9, 2012
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

State licenses

LicenseStateTypeSpecialty
3048TNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3048 TN Yes

Addresses

Primary practice location

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Mailing address

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Other providers in Greeneville, TN

All providers in Greeneville, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.