Provider Demographics
NPI:1487327284
Name:BOYD, ALLISON (CF-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:TROCKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CF-SLP
Mailing Address - Street 1:3402 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2468
Mailing Address - Country:US
Mailing Address - Phone:814-464-7492
Mailing Address - Fax:
Practice Address - Street 1:100 BARBER PL
Practice Address - Street 2:EARLY INTERVENTION
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507
Practice Address - Country:US
Practice Address - Phone:814-464-7492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPSL001343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist