Samantha Lynn Boucher | North Andover, MA • PECOS Search

Samantha Lynn Boucher

Counselor

Behavioral Health & Social Service Providers

790 Turnpike St, North Andover, MA 01845-6144

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Lynn Boucher does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1073352050
Provider Type
Individual
Full Name
Boucher, Samantha Lynn
Title
Ms.
Credential
M.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/21/2024
Last Updated
5/21/2024

Contact Information

Practice Location

790 Turnpike St, North Andover, MA 01845-6144

Unlisted Fax

Mailing Location

790 Turnpike St, North Andover, MA 01845-6144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer