Provider Demographics
NPI:1083226740
Name:BOXLEY SPEECH THERAPY
Entity Type:Organization
Organization Name:BOXLEY SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD SPEECH LANGUAGE THERAPIST/OWNE
Authorized Official - Prefix:MS
Authorized Official - First Name:AYANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-SLP
Authorized Official - Phone:856-209-2347
Mailing Address - Street 1:146 S LAKEVIEW DR STE 400
Mailing Address - Street 2:
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1018
Mailing Address - Country:US
Mailing Address - Phone:856-209-2347
Mailing Address - Fax:
Practice Address - Street 1:146 S LAKEVIEW DR STE 400
Practice Address - Street 2:
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1018
Practice Address - Country:US
Practice Address - Phone:856-209-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty