Healthcare Provider Details

I. General information

NPI: 1891900163
Provider Name (Legal Business Name): THE BETTER COMMUNICATION CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5439 W ALOHA DR SUITE B
DIAMONDHEAD MS
39525-3374
US

IV. Provider business mailing address

5439 W ALOHA DR SUITE B
DIAMONDHEAD MS
39525-3374
US

V. Phone/Fax

Practice location:
  • Phone: 228-255-8889
  • Fax: 228-255-0890
Mailing address:
  • Phone: 228-255-8889
  • Fax: 228-255-0890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA1020
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberS1020
License Number StateMS

VIII. Authorized Official

Name: DR. VIRGINIA G BOYLE
Title or Position: OWNER
Credential: AUD CCC A SLP
Phone: 228-255-8889