Mark Bouchea
Individual provider Active NPI Marriage & Family Therapist · Woburn, MA
NPI 1891522504 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1891522504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 50 Tower Office Park
Woburn, MA 01801-2113 - Phone
- (339) 666-4705
- NPI assigned
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
50 Tower Office Park
Woburn, MA 01801-2113
Mailing address
11 S Pond St
Newburyport, MA 01950-3211
Phone (617) 594-0442
Other providers in Woburn, MA
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- Diana Bou Chahine
- Adina Bourassa
- Dayna Bourassa
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- Athanasia Georgakakis Bousios
- Nancy E Boutin
All providers in Woburn, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.