Individual provider · Type 1 NPI

Nicole Renae Boucher, SLP

Speech-Language Pathologist · Fargo, ND

NPI number 1053530345 Active

Practice location

1702 University Dr S
Fargo, ND 58103-4940

Call (701) 364-3300 Map

Fax (701) 364-8906

Mailing address

PO Box 6001
Fargo, ND 58108-6001

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X771 (ND)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1053530345

Nicole Renae Boucher, SLP's National Provider Identifier is 1053530345, issued on Apr 25, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fargo, ND. The record was last updated on Jan 27, 2014.