Jena Lee Boylan
Speech-Language Pathologist, in Merrillville, IN. Individual provider (NPI-1).
NPI number1639654379
StatusActive
Last updated in NPPESSep 28, 2018
Details
- NPI
- 1639654379
- Entity type
- Individual (NPI-1)
- Name
- Jena Lee Boylan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2018
- Last updated
- Sep 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
2384 E 79th AveMerrillville, IN 46410-5740
Phone 708-334-4108
Mailing address
17760 StatelineLansing, IL 60438
Phone 708-334-4108
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