Wayne Charles Boucher PSY.D, ABPP

NPI 1093794372 - Psychologist - 103TC0700X

NPI Details
NPI 1093794372
Gender Male
Enumeration Date 01/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ROBERT E BUSH NAVAL HOSPTIAL
MAGTFTC MCAGCC
TWENTYNINE PALMS CA, 92278-8250, US
Phone (760) 830-2935
Fax (760) 830-2755
Business Location
PO BOX 788250
MAGTFTC MCAGCC
TWENTYNINE PALMS CA, 92278-8250, US
Phone (760) 830-2935
Fax (760) 830-2755
Toxanomy
Taxonomy Code 103TC0700X
License State Colorado
License Number 1614
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According to our database, Dr. Wayne Charles Boucher PSY.D, ABPP NPI is 1093794372, taxonomy code is 103TC0700X and license number is 1614, license state is located at Colorado. Wayne Charles Boucher PSY.D, ABPP physically located at Robert E Bush Naval Hosptial, Twentynine Palms CA, 92278-8250. NPI Number Wayne Charles Boucher PSY.D, ABPP has the Individual type.

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1093794372 NPI number is provided on an as is basis without warranty of any kind. 1093794372 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Charles Boucher PSY.D, ABPP are for informational purposes only.