Healthcare Provider Details

I. General information

NPI: 1073924569
Provider Name (Legal Business Name): RACHEL MEGAN BOYER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL JONES

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 EMPIRE STATE BLVD
CASTLETON NY
12033-9751
US

IV. Provider business mailing address

21 GATES AVE
GANSEVOORT NY
12831-2459
US

V. Phone/Fax

Practice location:
  • Phone: 518-588-2741
  • Fax:
Mailing address:
  • Phone: 518-588-2741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number36532
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number028742
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: