Individual
REBECCA A BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CC SLP
Contact information
Practice address
300 W BROADWAY ST, EXCELSIOR SPRINGS, MO 64024-2102
(816) 630-9200
(816) 630-9203
Mailing address
PO BOX 248, EXCELSIOR SPRINGS, MO 64024-0248
(816) 630-9200
(816) 630-9203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009015693
MO
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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