Provider Demographics
NPI:1053923433
Name:BOYD, ROBIN RENE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:RENE
Last Name:BOYD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17711 COUNTY ROAD 125
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-6272
Mailing Address - Country:US
Mailing Address - Phone:281-460-0110
Mailing Address - Fax:
Practice Address - Street 1:17711 COUNTY ROAD 125
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-6272
Practice Address - Country:US
Practice Address - Phone:281-250-9821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113948235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist