Individual provider · Type 1 NPI
Wayne Charles Boucher, PSY.D, ABPP
Clinical Psychologist · Twentynine Palms, CA
Practice location
Robert E Bush Naval Hosptial, Magtftc Mcagcc
Twentynine Palms, CA 92278-8250
Fax (760) 830-2755
Mailing address
PO Box 788250, Magtftc Mcagcc
Twentynine Palms, CA 92278-8250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 1614 (CO) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1093794372
Wayne Charles Boucher, PSY.D, ABPP's National Provider Identifier is 1093794372, issued on Jan 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Twentynine Palms, CA. The record was last updated on Jul 13, 2026.