NPI 1023538154
Derina Boothroyd, AUD
Practice location
- Address
- 985 Forest Ave., Portland, ME 04101
- Phone
- (413) 244-0196
- Mailing address
- 985 Forest Ave, Portland, ME 04103-3303
Registered specialties
Audiologist-Hearing Aid Fitter
Primary
Registry record
- NPI
- 1023538154
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jun 2017
- Record last updated
- 20 Jun 2017
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.