Individual
SHARON JOELLEN BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TIDE MILL LN, HAMPTON, VA 23666-2710
(757) 825-4669
Mailing address
105 WINTER CT, YORKTOWN, VA 23693-3611
(757) 867-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007642
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202007642
STATE OF VIRGINIA
VA
Enumeration date
01/16/2018
Last updated
01/16/2018
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