Provider Demographics
NPI:1912481375
Name:BOIKO, PATTI J (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:J
Last Name:BOIKO
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43600 SAN PASCUAL AVE
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-9311
Mailing Address - Country:US
Mailing Address - Phone:760-808-2269
Mailing Address - Fax:
Practice Address - Street 1:43600 SAN PASCUAL AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9311
Practice Address - Country:US
Practice Address - Phone:760-808-2269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty