Boucher, Michael Louis

Boucher, Michael Louis is an sole proprietor health care provider with primary practice located at 307 Semloh Dr , Syracuse NY 13219-2829. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boucher, Michael Louis can be contacted via phone (315) 468-0558.

Contact Information

Primary practice address
307 Semloh Dr Syracuse NY 13219-2829
Phone: (315) 468-0558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003804 New York

Profile Details

NPI number 1316165301
LBN Legal business name Boucher, Michael Louis
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Sep 7th, 2016 - about 8 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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