CHRISTINE BOUCHER (NPI# 1336664770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336664770 |
Entity Type | Individual |
Full Name | CHRISTINE BOUCHER |
Credential | MS, CF-SLP |
Practice Address |
32 Tandberg Trl Unit 7 Windham ME 04062-6417 |
Mailing Address |
64 Brookside Rd Portland ME 04103-4611 |
Practice Telephone | 2078931599 |
Mailing Telephone | 2074081235 |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235500000X | Specialist/Technologist | ST2697 | ME | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619258993 | Christine Boucher | Counselor | 384p Merrow Road, Tolland, CT 06084-3974 | 2011-08-31 |
Street Address |
32 TANDBERG TRL UNIT 7 |
City | WINDHAM |
State | ME |
Zip Code | 04062-6417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386886323 | Southern Maine Speech & Language Services, LLC | Speech-Language Pathologist | 32 Tandberg Trl Unit 7, Windham, ME 04062-6417 | 2009-04-06 |
1316451578 | Breanna Young | Speech-Language Pathologist | 32 Tandberg Trl Unit 7, Windham, ME 04062-6417 | 2017-11-27 |
1356605026 | Kathryn Sarah Waite | Speech-Language Pathologist | 32 Tandberg Trl Unit 7, Windham, ME 04062-6417 | 2012-06-27 |
1972870566 | Amber Allen | Specialist/Technologist | 32 Tandberg Trl Unit 7, Windham, ME 04062-6417 | 2011-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
Find all providers in zip 04062 |
Taxonomy Code | 235500000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346540523 | Tanya Mae Thibeau | Specialist/Technologist | 285 Benton Ave, Winslow, ME 04901 | 2010-10-22 |
1134436488 | Susan C Foltz | Specialist/Technologist | 11 Childrens Way, Rockport, ME 04856-5746 | 2010-09-08 |
1427362334 | Stacey Spencer | Specialist/Technologist | 291 Court St, Machias, ME 04654-3304 | 2010-08-03 |
Please comment or provide details below to improve the information on CHRISTINE BOUCHER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.