Individual
ROBERTA BETH BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
11000 COUNTY ROAD 255, WESTCLIFFE, CO 81252-9514
(719) 597-5043
Mailing address
11,000 COUNTY RD 255, WESTCLIFFE, CO 81252
(719) 429-3656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000525
CO
Other
Enumeration date
04/04/2010
Last updated
05/09/2024
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