Provider Demographics
NPI:1457696940
Name:BOYD, JOYCE MARIE SUNDAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE SUNDAY
Last Name:BOYD
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 1:38 BLAIR RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-3020
Mailing Address - Country:US
Mailing Address - Phone:540-455-4366
Mailing Address - Fax:
Practice Address - Street 1:38 BLAIR RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-3020
Practice Address - Country:US
Practice Address - Phone:540-455-4366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202001619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist