Individual provider · Type 1 NPI

Tina Boaz, MS-CCC-SLP

Speech-Language Pathologist · Sebastopol, CA

NPI number 1184536948 Active

Practice location

6265 Carlotta Ct
Sebastopol, CA 95472-5635

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSP12439 (CA)

Speech-Language Pathologist: 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, resonan…

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About NPI 1184536948

Tina Boaz, MS-CCC-SLP's National Provider Identifier is 1184536948, issued on Sep 17, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Sebastopol, CA. The record was last updated on Sep 17, 2026.