Provider Demographics
NPI:1699800748
Name:BOYD, REBEKAH E (SLP)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:E
Last Name:BOYD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 CHOCTAW TRL
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7472
Mailing Address - Country:US
Mailing Address - Phone:615-975-0748
Mailing Address - Fax:615-370-4646
Practice Address - Street 1:1309 CHOCTAW TRL
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7472
Practice Address - Country:US
Practice Address - Phone:615-975-0748
Practice Address - Fax:615-370-4646
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1991235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist