Individual
MRS. JENNIFER KATHLEEN BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
930 FOLLY RD STE B, CHARLESTON, SC 29412-3938
(843) 314-5434
Mailing address
930 FOLLY RD STE B, CHARLESTON, SC 29412-3938
(843) 314-5434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5500
SC
235Z00000X
Speech-Language Pathologist
SZ6210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1478
—
SC
Enumeration date
07/12/2013
Last updated
03/17/2015
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