Provider Demographics
NPI:1740438159
Name:BOYD, LINDA KAYE (MA, CCC, SLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KAYE
Last Name:BOYD
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MARINA WAY
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72802-7952
Mailing Address - Country:US
Mailing Address - Phone:479-968-6158
Mailing Address - Fax:
Practice Address - Street 1:101 BULLDOG DRIVE
Practice Address - Street 2:ARCH FORD EDUCATION SERVICE COOPERATION
Practice Address - City:PLUMERVILLE
Practice Address - State:AR
Practice Address - Zip Code:72127
Practice Address - Country:US
Practice Address - Phone:501-354-2269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist