Lauren Bouchacourt, CCC/SLP M.S.
Speech-Language Pathologist, in Tampa, FL. Individual provider (NPI-1).
NPI number1013405000
StatusActive
Last updated in NPPESApr 25, 2018
Details
- NPI
- 1013405000
- Entity type
- Individual (NPI-1)
- Name
- Lauren Bouchacourt
- Credential
- CCC/SLP M.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2018
- Last updated
- Apr 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SZ7758 | FL | Yes |
Practice location
2916 Habana WayTampa, FL 33614-7108
Phone 813-876-5141
Mailing address
2916 Habana WayTampa, FL 33614-7108
Phone 813-876-5141
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