NPI 1205111499

Theresa Ann Boomer, MS

Practitioner Genetic Counselor (M.S.) Clancy, MT

Practice location

Address: 4 Pine Ridge Cir, Clancy, MT 59634-9760
Phone: (406) 422-0411

Registered specialties (2)

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence 246.000083 (IL)

Other Genetic Counselor, MS providers in Montana →

Genetic Counselor (M.S.)

Other Service Providers Taxonomy 170300000X Licence GC0000000027 (TN)

Registry record

NPI: 1205111499
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2011
Record last updated: 19 Oct 2011

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.