Provider Demographics
NPI:1033784640
Name:BOIKE, CARLENA M (SLP)
Entity Type:Individual
Prefix:
First Name:CARLENA
Middle Name:M
Last Name:BOIKE
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 1:3801 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2059
Mailing Address - Country:US
Mailing Address - Phone:214-680-2976
Mailing Address - Fax:
Practice Address - Street 1:5805 COIT RD STE 203
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6990
Practice Address - Country:US
Practice Address - Phone:972-964-1500
Practice Address - Fax:972-964-1200
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty