Individual
AYANNA BOXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
146 LAKEVIEW DRIVE SOUTH, SUITE 400, GIBBSBORO, NJ 08026-1018
(856) 209-2347
Mailing address
146 LAKEVIEW DRIVE SOUTH, SUITE 400, GIBBSBORO, NJ 08026-1018
(856) 209-2347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00783700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00783700
NJ CONSUMER AFFAIRS SPEECH PATHOLOGIST LICENSE
NJ
Enumeration date
02/22/2020
Last updated
02/22/2020
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