Danielle M. Boucher, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77409 Issued in MA

Practice address

7 Boyds LN
Chelmsford, MA 01824-2829

Phone

(978) 761-9456

NPI assigned

Feb 3, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Children'S Therapies, Inc.

  • Speech-Language Pathologist
  • Hudson, MA
  • NPI 1245472554
  NPD
• Integrated Childrens Therapies

  • Multi-Specialty Clinic/Center
  • Hudson, MA
  • NPI 1518127331
  NPD
• Merrimack Valley Speech PLLC

  • Speech-Language Pathologist
  • Lowell, MA
  • NPI 1730649005
  NPD (past)
• Jefferson County Board of Education

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1750550570
  NPD (past)
• Jefferson County Schools

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1639367402
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1073971263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SCHOOL ST UNIT 12",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264659",
            "telephone_number": "978-399-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BOYDS LN",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242829",
            "telephone_number": "978-761-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Coolidge St",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "MA",
            "postal_code": "017491459",
            "country_code": "US",
            "telephone_number": "978-568-8800",
            "fax_number": "978-568-8877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Mordington Avenue",
            "address_2": "Jefferson County Board of Education",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "25414",
            "country_code": "US",
            "telephone_number": "304-267-3595 x157",
            "fax_number": "304-267-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "DANIELLE",
        "middle_name": "M.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Bowman, MA
• Phyllis Ruth Bowman, EDD

• All providers in Chelmsford, MA
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.