Provider Demographics
NPI:1518012475
Name:BOAZ, CINDY SUE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:SUE
Last Name:BOAZ
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 1:7030 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-8737
Mailing Address - Country:US
Mailing Address - Phone:812-923-0939
Mailing Address - Fax:812-923-0694
Practice Address - Street 1:7030 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-8737
Practice Address - Country:US
Practice Address - Phone:812-923-0939
Practice Address - Fax:812-923-0694
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003811A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist