NPI 1023538154 · live from the CMS NPI Registry
Derina Boothroyd, AuD
Audiologist-Hearing Aid Fitter in Portland, ME. National Provider Identifier 1023538154, active.
NPI record
| NPI | 1023538154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 985 Forest Ave., Portland, ME 04101 |
| Practice phone | 413-244-0196 |
| Mailing address | 985 Forest Ave, Portland, ME 04103 |
| Enumerated | June 20, 2017 |
| Last updated | June 20, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter primary | 237600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.