Boothroyd, Derina

Boothroyd, Derina is an individual health care provider with primary practice located at 985 Forest Ave. , Portland ME 04101. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Boothroyd, Derina can be contacted via phone (413) 244-0196.

Contact Information

Primary practice address
985 Forest Ave. Portland ME 04101
Phone: (413) 244-0196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X

Profile Details

NPI number 1023538154
LBN Legal business name Boothroyd, Derina
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Jun 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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