Cerise Elise Bouchard, CLC
Developmental Therapist in Lexington, KY. Individual provider (NPI-1).
NPI number1407152234
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1407152234
- Entity type
- Individual (NPI-1)
- Name
- Cerise Elise Bouchard
- Credential
- CLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2011
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | 201197964 | KY | Yes |
Practice location
1733 Brook Park DrLexington, KY 40515-1306
Phone 859-576-1062
Mailing address
1733 Brook Park DrLexington, KY 40515-1306
Phone 859-576-1062
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 Developmental Therapist providers in Lexington, KY
- Misty AdamsNPI 1538554233
- Carrie BalesNPI 1184806259
- Sydney BottomleyNPI 1013393065
- Juniper Alaska BrewerNPI 1609734847
- Cybil Kelly Cheek, M.EdNPI 1992928048
- Kaitlyn B CollettNPI 1134951114
- Jennifer CookNPI 1447185160
- Lucia Di PrimaNPI 1316488158
- Kaitlin Jo DickNPI 1245765262
- Jami Haas, IECE CertifiedNPI 1699460840
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.