Provider Demographics
NPI:1114788197
Name:BOYD, DANA J (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:J
Last Name:BOYD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 S WHEATLANDS PKWY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5448
Mailing Address - Country:US
Mailing Address - Phone:720-886-8824
Mailing Address - Fax:
Practice Address - Street 1:6525 S WHEATLANDS PKWY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5448
Practice Address - Country:US
Practice Address - Phone:720-886-8824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01131281235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist