Nicole Renae Boucher in Fargo - Speech-language Pathologist

Nicole Renae Boucher - NPI 1053530345

Nicole Renae Boucher is a Speech-language Pathologist in Fargo, North Dakota. Nicole Renae Boucher practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Nicole Renae Boucher is 1053530345. The last update date is 2014-01-27.

Nicole Renae Boucher's current location address is Po Box 6001, Fargo, North Dakota. You can contact this provider via phone number 7013643300 and fax number 7013648906. The mailing address for Nicole Renae Boucher is Po Box 6001, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Renae Boucher
Address Po Box 6001, Fargo, North Dakota
Phone Number 7013643300
Fax Number 7013648906
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1053530345
Provider Enumeration Date 2007-04-25
Last Updated Date 2014-01-27

Provider Mailing Address Detail

Address Po Box 6001
City Fargo
State North Dakota (ND)
Post Code 581086001
Phone Number 7013643300
Fax Number 7013648906

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 771
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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FAQs about Nicole Renae Boucher

What is the Nicole Renae Boucher's unique identification number?

The Nicole Renae Boucher has been assigned the NPI (National Provider Identifier) Number 1053530345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Nicole Renae Boucher is geographically located?

The Nicole Renae Boucher is physically situated at the following location: Po Box 6001, Fargo, ND, 581086001.

What is Nicole Renae Boucher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nicole Renae Boucher is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.

On what date did the Nicole Renae Boucher receive its 1053530345 assignment from the Centers for Medicare & Medicaid Services?

The Nicole Renae Boucher was assigned its 1053530345 by the Centers for Medicare & Medicaid Services on 2007-04-25.

When was the information related to Nicole Renae Boucher most recently updated or refreshed?

The details pertaining to the Nicole Renae Boucher, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-27.

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