NPI 1629735691

Stephen Boorman, MSCCCSLP

Practitioner Speech-Language Pathologist Revere, MA

Practice location

Address: 204 Proctor Ave, Revere, MA 02151-4923
Phone: (781) 286-3100
Mailing address: 36 Elm St Unit C, Somerville, MA 02143-2229

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Massachusetts →

Registry record

NPI: 1629735691
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Nov 2021
Record last updated: 24 Nov 2021

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.