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Kristina Boccardo, M.S., CCC-SLP

Speech-Language Pathologist, in Santa Monica, CA. Individual provider (NPI-1).

NPI number1376159772
StatusActive
Last updated in NPPESSep 21, 2020

Details

NPI
1376159772
Entity type
Individual (NPI-1)
Name
Kristina Boccardo
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 21, 2020
Certification date
Sep 21, 2020
Last updated
Sep 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,24536CAYes

Practice location

1930 Ocean Ave Apt 301
Santa Monica, CA 90405-1041

Phone 585-216-5376

Mailing address

1930 Ocean Ave Apt 301
Santa Monica, CA 90405-1041

Phone 585-216-5376

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