NPI 1003535519
Katrina Boom, MACCCSLP
Practice location
- Address
- 1251 Knowles Ave, Carlsbad, CA 92008-1545
- Phone
- (408) 921-9804
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1003535519
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Aug 2022
- Record last updated
- 26 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.