Individual provider · Type 1 NPI

Cerise Elise Bouchard, CLC

Developmental Therapist · Lexington, KY

NPI number 1407152234 Active

Practice location

1733 Brook Park Dr
Lexington, KY 40515-1306

Call (859) 576-1062 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X201197964 (KY)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

Other developmental therapist providers in Lexington

See all in Lexington →

About NPI 1407152234

Cerise Elise Bouchard, CLC's National Provider Identifier is 1407152234, issued on Jan 26, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lexington, KY. The record was last updated on Jun 14, 2022.