Individual
MRS. AISHA L BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-4130
Mailing address
1300 FISK RD SE, GRAND RAPIDS, MI 49506-3241
(832) 265-9529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11322
MD
235Z00000X
Speech-Language Pathologist
7101007380
MI
235Z00000X
Speech-Language Pathologist
SLP010278
GA
Other
Enumeration date
08/27/2018
Last updated
02/18/2025
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