Individual
MISS TARA SHAE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10599 N TATUM BLVD STE F153, PARADISE VALLEY, AZ 85253-1053
(602) 606-2237
(844) 475-2307
Mailing address
10599 N TATUM BLVD STE F153, PARADISE VALLEY, AZ 85253-1053
(602) 606-2237
(844) 475-2307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7587
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352183400
—
MN
01
—
384M2BE
BCBS GROUP
MN
01
—
384M3BE
BCBS INDIVIDUAL
MN
Enumeration date
05/07/2007
Last updated
03/17/2018
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