Active NPIIndividual providerSole proprietor

Stephen Boorman, MS CCC-SLP

Speech-Language Pathologist, in Revere, Massachusetts

NPI Number1629735691
Practice location
204 Proctor Ave, Revere, MA 02151-4923
Fax
—
Last updated
November 24, 2021

Stephen Boorman is a Speech-Language Pathologist, based in Revere, MA. Stephen Boorman practices in Revere, MA and has the professional credentials of MS CCC-SLP. The NPI Number for Stephen Boorman is 1629735691. The current practice location address for Stephen Boorman is 204 Proctor Ave, Revere, MA 02151-4923 and can be reached out via phone at 781-286-3100.

Provider Profile Details

NPI Number
1629735691
Provider Name
Stephen Boorman
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
204 Proctor Ave, Revere, MA 02151-4923
Phone Number
781-286-3100
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 24, 2021
Last Update Date
November 24, 2021
Certification Date
November 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Proctor Ave
Revere, MA 02151-4923
City
Revere
Zip
02151-4923
Phone Number
781-286-3100
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
36 Elm St Unit C
Somerville, MA 02143-2229
City
Somerville
State
MA
Zip
02143-2229

License Information

Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephen Boorman, MS CCC-SLP?

The NPI number of Stephen Boorman, MS CCC-SLP is 1629735691. It was assigned on November 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Stephen Boorman, MS CCC-SLP?

Stephen Boorman, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Stephen Boorman, MS CCC-SLP practice?

The practice location is 204 Proctor Ave, Revere, MA 02151-4923. The office can be reached at 781-286-3100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629735691 directly on the NPPES registry website.

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