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Kelsea P Bouchard

Speech-Language Pathologist, in Winslow, ME. Individual provider (NPI-1).

NPI number1740811983
StatusActive
Last updated in NPPESOct 10, 2025

Details

NPI
1740811983
Entity type
Individual (NPI-1)
Name
Kelsea P Bouchard
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2020
Certification date
Oct 10, 2025
Last updated
Oct 10, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP3409MEYes

Practice location

17 Court St
Winslow, ME 04901-7646

Phone 207-649-6830

Mailing address

17 Court St
Winslow, ME 04901-7646

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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 Winslow, ME

All 5 Speech-Language Pathologist providers in Winslow · All 77 providers in Winslow

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