Provider Demographics
NPI:1497081517
Name:BOBY, JYNCI (CF-SLP)
Entity Type:Individual
Prefix:
First Name:JYNCI
Middle Name:
Last Name:BOBY
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14145 SIMONE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3228
Mailing Address - Country:US
Mailing Address - Phone:586-566-6280
Mailing Address - Fax:586-566-1898
Practice Address - Street 1:49664 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48051-2526
Practice Address - Country:US
Practice Address - Phone:586-421-4062
Practice Address - Fax:586-421-6072
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist