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NPI Code Detail

MEDICARE: AMBER ELIZABETH BOARMAN SLP

MEDICARE:   AMBER ELIZABETH BOARMAN  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2235Z00000XSpeech-Language Pathologist14340067KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1265465OTHERKYLICENSE

General Provider Information

NPI Number : 1942914841
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER ELIZABETH BOARMAN SLP
Provider Business Mailing Address
First Line : 2509 MIDDLEGROUND DR
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-4109
Country : US
Telephone Number : 270-316-3506
Fax Number : 270-240-3681
Provider Business Practice Location Address
First Line : 3520 NEW HARTFORD RD STE 305
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-4636
Country : US
Telephone Number : 270-240-3680
Fax Number : 270-240-3681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2023
Last Update Date : 01/10/2025

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Directions to “ AMBER ELIZABETH BOARMAN SLP” Practice Location

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