| Mrs Mary Elizabeth Bouchard, CCC-SLP | |
|
214 King Street, Ogdensburg, NY 13669 | |
| (315) 713-5660 | |
| (315) 393-0055 |
| Full Name | Mrs Mary Elizabeth Bouchard |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 214 King Street, Ogdensburg, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932673100 | NPI | - | NPPES |
| 05509600 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 028375-1 (New York) | Primary |
| Provider Name | Claxton-hepburn Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Elizabeth Bouchard, CCC-SLP 214 King Street, Ogdensburg, NY 13669 Ph: (315) 713-5660 | Mrs Mary Elizabeth Bouchard, CCC-SLP 214 King Street, Ogdensburg, NY 13669 Ph: (315) 713-5660 |
Cheryl Harper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 853 County Route 4, Ogdensburg, NY 13669 Phone: 315-393-0325 | |
Stacey Rosenberger, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 King Street, Ogdensburg, NY 13669 Phone: 315-713-5660 Fax: 315-393-0055 | |
Emma Deetta Greguire Henry, MA, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801-809 Park Street, Ogdensburg, NY 13669 Phone: 315-393-4264 | |
Jennifer Ann Mills, M.A.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 State St, Ogdensburg, NY 13669 Phone: 315-393-0900 | |
Andrew S. Hockenbery, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 221 Hamilton St, Ogdensburg, NY 13669 Phone: 315-530-0911 |