Individual
ALICIA BOULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP.-CF
Contact information
Practice address
680 KINGSBOROUGH SQ STE B, CHESAPEAKE, VA 23320-4988
(757) 547-0434
(757) 547-0625
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000417
VA
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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