Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tina Bolyard, MNSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1649579244

MS. Tina Bolyard, MNSCCC-SLP is a Speech-Language Pathologist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
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Practice location Address checks out

642 E Meadow Ln
Phoenix, AZ 85022-4244
Phone: (602) 748-9927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1784 (AZ)

Record details

NPI number1649579244
Entity typeIndividual (Type 1)
GenderFemale
Credentials MNSCCC-SLP
Sole proprietorYes
NPI enumeratedMarch 22, 2011
Last updated in NPPESMarch 22, 2011

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