Individual
HEATHER BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 W OLYMPIC BLVD, 410, LOS ANGELES, CA 90064-1151
(424) 371-9680
Mailing address
11900 W OLYMPIC BLVD, 410, LOS ANGELES, CA 90064-1151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10019
CA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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