Boddie, Shanda

Boddie, Shanda is an individual health care provider with primary practice located at 4801 Troup Hwy , Tyler TX 75703-2356. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Boddie, Shanda can be contacted via phone (903) 939-2800.

Contact Information

Primary practice address
4801 Troup Hwy Tyler TX 75703-2356
Phone: (903) 939-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 32265 Texas

Profile Details

NPI number 1750568135
LBN Legal business name Boddie, Shanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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