| 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: Medicare Enrolled Practice Location: 221 Hamilton St, Ogdensburg, NY 13669 Phone: 315-530-0911  |