Individual
DR. LAURA A BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5300 TALLMAN AVE NW STE 301, SEATTLE, WA 98107-3932
(206) 320-3335
(206) 320-8027
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60670028
WA
Other
Enumeration date
04/28/2014
Last updated
11/23/2018
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