Boucher, Wayne Charles
Boucher, Wayne Charles is an individual health care provider with primary practice located at Robert E Bush Naval Hosptial Magtftc Mcagcc, Twentynine Palms CA 92278-8250. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boucher, Wayne Charles can be contacted via phone (760) 830-2935.Contact Information
Primary practice address
Robert E Bush Naval Hosptial Magtftc Mcagcc
Twentynine Palms CA 92278-8250
Phone: (760) 830-2935
Fax: (760) 830-2755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1614 | Colorado |
Profile Details
| NPI number | 1093794372 |
|---|---|
| LBN Legal business name | Boucher, Wayne Charles |
| Credentials | PSY.D, ABPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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