Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA ANN BOOMER, MS
Active Sole ProprietorMS. THERESA ANN BOOMER, MS is a Genetic Counselor healthcare provider located in CLANCY, Montana. NPI 1205111499 is currently active in the NPPES registry. Verify at CMS.
Genetic Counselor · CLANCY, MT
Registration Details
- NPI Number
- 1205111499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2011 (14.675501732012 yrs)
- Last Updated
- Oct 19, 2011
- Licenses
-
246.000083 (IL)GC0000000027 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 PINE RIDGE CIRCLANCY, MT, 596349760Browse MT providers · Browse ZIP 59634
- Phone
- 4064220411
- Primary Specialty
-
Genetic Counselor
170300000X
- Additional Specialty
- Genetic Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.