Individual
SHELLY STEPHENS BOYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
529 LODEN WAY, MADISONVILLE, LA 70447-3105
(985) 630-4858
Mailing address
529 LODEN WAY, MADISONVILLE, LA 70447-3105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5666
LA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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