Individual
DR. VIRGINIA G BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCC A SLP
Contact information
Practice address
5439 W ALOHA DR, STE B, DIAMONDHEAD, MS 39525-3374
(228) 255-8889
(228) 255-0890
Mailing address
5439 W ALOHA DR, STE B, DIAMONDHEAD, MS 39525-3374
(228) 255-8889
(228) 255-0890
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A1020
MS
235Z00000X
Speech-Language Pathologist
S1020
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015355
—
MS
01
—
125360700
AUDIOLOGY DEPT OF LABOR
MS
01
—
1573753
CIGNA
MS
01
—
512I640002
MEDICARE
MS
01
—
7636062
AETNA
MS
01
—
876174
HUMANA
MS
Enumeration date
06/22/2005
Last updated
08/13/2008
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