Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Raymond Boetger, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1609312594

Mr. Raymond Boetger, MSCCC-SLP is a Qualified Speech Language Pathologist in Buena Park, California. Qualified in 2019, 7 years ago. Practices with Expressable Speech-Language Pathology PC, a 113-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

8593 San Antonio Dr
Buena Park, CA 90620-3705
Phone: (714) 485-8822
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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 30365 (CA)

Record details

NPI number1609312594
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Expressable Speech-Language Pathology Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Buena Park