Provider Demographics
NPI:1457460891
Name:BOYLE, LAKSHMI JOSHI (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAKSHMI
Middle Name:JOSHI
Last Name:BOYLE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:85 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX JCT
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4378
Mailing Address - Country:US
Mailing Address - Phone:802-847-3970
Mailing Address - Fax:802-847-5880
Practice Address - Street 1:790 COLLEGE PKWY
Practice Address - Street 2:CDC GROUND FLOOR FLETCHER ALLEN HEALTH CARE
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-3007
Practice Address - Country:US
Practice Address - Phone:802-847-3940
Practice Address - Fax:802-847-5880
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist