Margaret Lynn Boulos
Individual provider Active NPI Speech-Language Pathologist · Stratford, CT
NPI 1104639632 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1104639632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2389 (CT)
- Practice address
- 999 Oronoque LN
Stratford, CT 06614-1379 - Phone
- (203) 870-2022
- Fax
- (203) 386-1144
- NPI assigned
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2389 | CT | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2389 | CT | Yes |
Addresses
Primary practice location
999 Oronoque LN
Stratford, CT 06614-1379
Mailing address
36 Brookdale Ave
Milford, CT 06460-5933
Phone (561) 310-3698
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All providers in Stratford, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.