Individual
STEPHEN BOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S CCC-SLP
Contact information
Practice address
204 PROCTOR AVE, REVERE, MA 02151-4923
(781) 286-3100
Mailing address
36 ELM ST UNIT C, SOMERVILLE, MA 02143-2229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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