Staci Marie Whitehurst-Boakye, M.S.,CCC-SLP
Speech-Language Pathologist, in Frederick, MD. Individual provider (NPI-1).
NPI number1144401498
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1144401498
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Staci Marie Whitehurst-Boakye
- Credential
- M.S.,CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2007
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 05198 | MD | Yes |
Practice location
197 Thomas Johnson Dr Ste A-BFrederick, MD 21702-4314
Phone 866-727-3422
Mailing address
197 Thomas Johnson Dr Ste A-BFrederick, MD 21702-4314
Phone 866-727-3422
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