Individual
BARBARA BOUSHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W ARCHER PL, DENVER, CO 80223-1620
(303) 638-3511
Mailing address
18108 E CALEY CIR, AURORA, CO 80016-1174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01091396
ASHA
—
Enumeration date
01/06/2020
Last updated
01/06/2020
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