Boucher, Kelly A
Boucher, Kelly A is an individual health care provider with primary practice located at 9501 Farrell Rd Aphp 5Th Floor, Fort Belvoir VA 22060-5901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boucher, Kelly A can be contacted via phone (703) 805-0948.Contact Information
Primary practice address
9501 Farrell Rd Aphp 5Th Floor
Fort Belvoir VA 22060-5901
Phone: (703) 805-0948
Fax: (703) 805-9024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904006182 | Virginia |
Profile Details
| NPI number | 1205819273 |
|---|---|
| LBN Legal business name | Boucher, Kelly A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | May 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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