Heather Dawn Bourassa, CCC-SLP
Speech-Language Pathologist, in Florissant, MO. Individual provider (NPI-1).
NPI number1104466739
StatusActive
Last updated in NPPESJan 11, 2020
Details
- NPI
- 1104466739
- Entity type
- Individual (NPI-1)
- Name
- Heather Dawn Bourassa
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2020
- Certification date
- Jan 11, 2020
- Last updated
- Jan 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2019045240 | MO | Yes |
Practice location
15875 New Halls Ferry RdFlorissant, MO 63031-1225
Phone 314-953-5400
Mailing address
2622 Gurney CtSaint Louis, MO 63110-3416
Phone 314-599-4050
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Florissant, MO
- Kimberly Paige Abts, CCC-SLP, CBISNPI 1194401620
- Madison AndesNPI 1962338814
- Sydney Marie Bampton, CF-SLPNPI 1053204958
- Gabrielle BerolattiNPI 1083446504
- Ciara Renae BeyerNPI 1275376642
- Lisa L BloodworthNPI 1437646619
- Mary Ellen BoedekerNPI 1366939548
- Alexis Davis, CF-SLPNPI 1780577684
- Roxanne Marie Delcau, EDDNPI 1598960122
- Emily Joan Despain, CF-SLPNPI 1750029872
All 42 Speech-Language Pathologist providers in Florissant · All 2,275 providers in Florissant
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.