Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Genevieve Boulais, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265047682

Genevieve Boulais, MACCC-SLP is a Speech-Language Pathologist in San Diego, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

4870 Santa Monica Ave Ste 2B
San Diego, CA 92107-4802
Phone: (619) 560-1270
Fax: (619) 684-3765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP30340 (CA)

Record details

NPI number1265047682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

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