Individual
ANDREA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10475 PERRY HWY STE 106G, WEXFORD, PA 15090-9213
(877) 407-3422
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015915
PA
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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