Suzanne M Boucher | Watertown, MA • PECOS Search

Suzanne M Boucher

Counselor

Behavioral Health & Social Service Providers

127 N. Beacon St., Watertown, MA 02472-2712

PECOS Enrollment

Based on the most recent information from CMS, provider Suzanne M 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 2 days ago.

Profile Details

Provider ID
1972677128
Provider Type
Individual
Full Name
Boucher, Suzanne M
Title
Ms.
Credential
M.ED. LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

127 N. Beacon St., Watertown, MA 02472-2712

(617) 924-1027

Mailing Location

18 Dell St, Somerville, MA 02145-4122

(617) 924-1027

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 5863 Massachusetts