Provider Demographics
NPI:1891900163
Name:THE BETTER COMMUNICATION CLINIC
Entity Type:Organization
Organization Name:THE BETTER COMMUNICATION CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCC A SLP
Authorized Official - Phone:228-255-8889
Mailing Address - Street 1:5439 W ALOHA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:DIAMONDHEAD
Mailing Address - State:MS
Mailing Address - Zip Code:39525-3374
Mailing Address - Country:US
Mailing Address - Phone:228-255-8889
Mailing Address - Fax:228-255-0890
Practice Address - Street 1:5439 W ALOHA DR
Practice Address - Street 2:SUITE B
Practice Address - City:DIAMONDHEAD
Practice Address - State:MS
Practice Address - Zip Code:39525-3374
Practice Address - Country:US
Practice Address - Phone:228-255-8889
Practice Address - Fax:228-255-0890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA1020231H00000X
MSS1020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0122911Medicaid
MS09015355Medicaid
MS433131421-EOtherBLUE CROSS BLUE SHIELD
MS512G640001OtherMEDICARE
MS876174OtherHUMANA
MS433131421-FOtherBLUE CROSS BLUE SHIELD
MS0120545Medicaid
MS1573753OtherCIGNA
MS7636062OtherAETNA
MSS82508Medicare UPIN