NPI 1740964345 · live from the CMS NPI Registry
Olivia Boorom, MS CCC-SLP
Speech-Language Pathologist, in Lawrence, KS. National Provider Identifier 1740964345, active.
NPI record
| NPI | 1740964345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1609 W 4th St Unit A, Lawrence, KS 66044 |
| Practice phone | 919-218-6728 |
| Enumerated | June 14, 2023 |
| Last updated | June 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 5129 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.