Provider Demographics
NPI:1972805232
Name:FLOYD, ELIZA (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ELM SQUARE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3666
Mailing Address - Country:US
Mailing Address - Phone:978-475-9595
Mailing Address - Fax:
Practice Address - Street 1:1 ELM SQUARE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3666
Practice Address - Country:US
Practice Address - Phone:978-475-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2022-11-16
Deactivation Date:2022-11-07
Deactivation Code:
Reactivation Date:2022-11-16
Provider Licenses
StateLicense IDTaxonomies
MA949231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist