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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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