Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CERISE ELISE BOUCHARD, CLC
Active Sole ProprietorCERISE ELISE BOUCHARD, CLC is a Developmental Therapist healthcare provider located in LEXINGTON, Kentucky. NPI 1407152234 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · LEXINGTON, KY
Registration Details
- NPI Number
- 1407152234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2011 (15.578111953499 yrs)
- Last Updated
- Jun 14, 2022
- License
-
201197964 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1733 BROOK PARK DRLEXINGTON, KY, 405151306Browse KY providers · Browse ZIP 40515
- Phone
- 8595761062
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| DIXIE L MILLER | — | 1598801128 |
| CYBIL KELLY CHEEK | M.ED | 1992928048 |
| STEFANIE GABRIELE HOOD | DI | 1831301456 |
| MISS AMY J WINN | M.A.ED., IECE | 1710178603 |
| C ANGELA PARKER | — | 1053505628 |
| CARRIE BALES | — | 1184806259 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.