Boucher-Snodgrass, Michelle Denise

Boucher-Snodgrass, Michelle Denise is an individual health care provider with primary practice located at 5004 Highway 39 N , Meridian MS 39301-1021. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Boucher-Snodgrass, Michelle Denise can be contacted via phone (601) 693-8307.

Contact Information

Primary practice address
5004 Highway 39 N Meridian MS 39301-1021
Phone: (601) 693-8307
Fax: (601) 639-6794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 45-732 Mississippi

Profile Details

NPI number 1386657914
LBN Legal business name Boucher-Snodgrass, Michelle Denise
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386657914 NPPES
Mississippi MEDICAID 07170249

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