Provider Demographics
NPI:1578573986
Name:BOON, ANNE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:BOON
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 1:1600 W 38TH ST
Mailing Address - Street 2:STE 320
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6400
Mailing Address - Country:US
Mailing Address - Phone:512-324-3310
Mailing Address - Fax:512-324-3311
Practice Address - Street 1:6811 AUSTIN CENTER BLVD
Practice Address - Street 2:STE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3146
Practice Address - Country:US
Practice Address - Phone:512-628-1918
Practice Address - Fax:512-628-1916
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102164235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist