NPI Code Details Logo

NPI 1669062873

NPI 1669062873 : EMILY BOYD : JONESBORO, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669062873
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EMILY BOYD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/21/2021
-----------------------------------------------------
    Last Update Date     |    07/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    151 SOUTHWEST DR 
-----------------------------------------------------
    City                 |    JONESBORO
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72401-5828
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    870-932-0090
-----------------------------------------------------
    Fax                  |    870-930-9336
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2513 SARAH LN 
-----------------------------------------------------
    City                 |    PARAGOULD
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72450-6291
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-517-6138
-----------------------------------------------------
    Fax                  |    870-930-9336
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    201310
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.