Individual
DR. DAVID ALAN BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3633 CAMINO DEL RIO SOUTH, SUITE 102, SAN DIEGO, CA 92108-4012
(619) 296-8097
(619) 260-1036
Mailing address
3633 CAMINO DEL RIO SOUTH, SUITE 102, SAN DIEGO, CA 92108-4012
(619) 296-8097
(619) 260-1036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY140850
—
CA
Enumeration date
07/14/2005
Last updated
02/28/2011
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