Kurtt Russell Boucher in Payson - Speech-language Pathologist
Kurtt Russell Boucher - NPI 1871750059
Kurtt Russell Boucher is a Speech-language Pathologist in Payson, Utah. Kurtt Russell Boucher practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kurtt Russell Boucher is 1871750059. The last update date is 2009-02-20.
Kurtt Russell Boucher's current location address is 15 South 1000 East, Payson, Utah. You can contact this provider via phone number 8014655610 and fax number 8014655615. The mailing address for Kurtt Russell Boucher is 15 South 1000 East, Payson, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kurtt Russell Boucher |
|---|---|
| Address | 15 South 1000 East, Payson, Utah |
| Phone Number | 8014655610 |
| Fax Number | 8014655615 |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1871750059 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2009-02-20 |
Provider Mailing Address Detail
| Address | 15 South 1000 East |
|---|---|
| City | Payson |
| State | Utah (UT) |
| Post Code | 846511600 |
| Phone Number | 8014655610 |
| Fax Number | 8014655615 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7004843-4102 |
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Definition: 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. Spe |
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Post Comment/ Review Below
What is the unique identifier code issued to Kurtt Russell Boucher by the Centers for Medicare & Medicaid Services (CMS)?
The Kurtt Russell Boucher has been assigned the NPI (National Provider Identifier) 1871750059. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kurtt Russell Boucher is physically located?
The Kurtt Russell Boucher is situated at the following address: 15 South 1000 East, Payson, UT 846511600.
What is the area of specialization for Kurtt Russell Boucher, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kurtt Russell Boucher is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
On what date did the Kurtt Russell Boucher receive the assignment of its 1871750059 from the Centers for Medicare & Medicaid Services?
The Kurtt Russell Boucher was issued its 1871750059 by the Centers for Medicare & Medicaid Services on 2008-05-16.
As of what date was the information regarding Kurtt Russell Boucher, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kurtt Russell Boucher, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-20.