Individual
MRS. REBECCA ELLEN BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC, SLP
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
5635 BLUE LEVEL RD, ROCKFIELD, KY 42274-9358
(270) 991-4426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3213
KY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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