Nicole Renae Boucher, SLP - Speech-Language Pathologist in Fargo, ND

Nicole Renae Boucher, SLP is a Speech-language Pathologist based in Fargo, North Dakota. Nicole Renae Boucher is licensed to practice in North Dakota (license number 771) and her current practice location is 1702 University Dr S, Fargo, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 364-3300.

NPI number for Nicole Renae Boucher is 1053530345 and her current mailing address is Po Box 6001, Fargo, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053530345.

Contact Information

Nicole Renae Boucher, SLP
1702 University Dr S,
Fargo, ND 58103-4940
(701) 364-3300
(701) 364-8906



Healthcare Provider's Profile

Full NameNicole Renae Boucher
GenderFemale
SpecialitySpeech-language Pathologist
Location1702 University Dr S, Fargo, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053530345
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 01/27/2014

Medical Identifiers

Medical identifiers for Nicole Renae Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053530345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 771 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Renae Boucher is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Renae Boucher, SLP
Po Box 6001,
Fargo, ND 58108-6001

Ph: (701) 364-3300
Nicole Renae Boucher, SLP
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-3300

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Speech-Language Pathologist in Fargo, ND

Mrs. Jill S Erickson, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1727 South 16th Street, Fargo, ND 58103
Phone: 701-446-4800    
Katherine Wilson,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2846 Brandt Dr S, Fargo, ND 58104
Phone: 701-232-2340    Fax: 701-232-2330
Sarah Hoepfner,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-6970    Fax: 701-234-7391
Nancy Knowlton, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103
Phone: 701-356-0062    Fax: 701-356-5412
Kayla Marie Flach, MSLP
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104
Phone: 701-532-1507    Fax: 701-532-1529
Sydney M Honek, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 4152 30th Ave S, Fargo, ND 58104
Phone: 701-551-1750    
Kids First Therapy, Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1102 7th St S, Fargo, ND 58103
Phone: 701-866-9529    

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