GENEVIEVE BOULAIS


Address: 4870 Santa Monica Ave Ste 2b, San Diego, CA 92107-4802
Phone: 6195601270

GENEVIEVE BOULAIS (NPI# 1265047682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265047682
Entity Type Individual
Full Name GENEVIEVE BOULAIS
Credential MA CCC-SLP
Practice Address 4870 Santa Monica Ave Ste 2b
San Diego
CA 92107-4802
Practice Telephone 6195601270
Practice Fax Number 6196843765
Mailing Telephone 6195601270
Mailing Fax Number 6196843765
Enumeration Date 2020-09-11
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SP30340 CA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA SPEECH-LANGUAGE PATHOLOGY LICENSE SP30340 01

Office Location

Street Address 4870 SANTA MONICA AVE STE 2B
City SAN DIEGO
State CA
Zip Code 92107-4802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558896357 Jessica Nicole Reed Speech-Language Pathologist 4870 Santa Monica Ave Ste 2b, San Diego, CA 92107-4802 2017-04-29
1427683416 Ravyn L Reid Speech-Language Pathologist 4870 Santa Monica Ave Ste 2b, San Diego, CA 92107-4802 2020-03-10
1659845766 Ocean Beach Speech Clinic/Center 4870 Santa Monica Ave Ste 2b, San Diego, CA 92107-4802 2019-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497111322 Amanda Malicki Occupational Therapist 1567 Ocean Front St, San Diego, CA 92107 2016-01-07
1841689031 Shari Houser Marriage & Family Therapist 1969 Sunset Cliffs Blvd, San Diego, CA 92107 2015-01-12
1740627868 Marie Catherine Dumas Psychologist 3863 Coronado Ave, San Diego, CA 92107 2013-05-30
1386914422 South Bay Internal Medicine and Family Practice Non-Pharmacy Dispensing Site 374 H Street, 202, San Diego, CA 92107 2012-01-06
1396023982 Brooke Michelle Nielsen Marriage & Family Therapist 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 2011-07-29
1871890889 Elizabeth Cantori Occupational Therapist 1865 1/2 Ebers St, San Diego, CA 92107 2011-02-28
1861716482 Dina Chalom Physical Therapist 4833 Pescadero Ave Apt 3, San Diego, CA 92107 2010-03-25
1265762983 David A. Schein Psychiatry & Neurology 4517 Newport Avenue, San Diego, CA 92107 2009-12-31
1184836215 County of San Diego, Aging & Independance Services Community/Behavioral Health 4858 Del Mar Ave, San Diego, CA 92107 2007-05-03
1063535813 James Wilson Jones Dentist 1499 Sunset Cliffs Blvd, San Diego, CA 92107 2007-04-09
Find all providers in zip 92107

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922605898 Little Rose Speech Therapy, Inc. Speech-Language Pathologist 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 2020-10-05
1710594122 Chelsea A Johnson Speech-Language Pathologist 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 2020-09-29
1770195083 Emma Kotsher Speech-Language Pathologist 2081 Cable St, San Diego, CA 92107-2573 2020-08-18
1891310165 Ingrid Wolfer Exerjian Speech-Language Pathologist 1844 Malden St, San Diego, CA 92109-2208 2020-06-12
1326663014 Fernanda Manriquez Speech-Language Pathologist 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 2020-06-09
1588288567 Samantha Sandler Speech-Language Pathologist 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 2020-06-04
1225652910 Laura L Kishaba Speech-Language Pathologist 13343 Samantha Ave, San Diego, CA 92129-2164 2020-05-29
1003436643 Carrie Chouinard Speech-Language Pathologist 7836 Mission Montana Pl, San Diego, CA 92120-1543 2020-04-23
1801424023 Chelsey Jean Krug Speech-Language Pathologist 9114 Flanders Dr, San Diego, CA 92126-2827 2020-04-01
1104452978 Joyride Therapeutic Adventures Speech-Language Pathologist 3064 Thorn St, San Diego, CA 92104-4639 2020-03-12
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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