MICHELLE DENISE BOUCHER-SNODGRASS (NPI# 1386657914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386657914 |
| Entity Type | Individual |
| Full Name | MICHELLE DENISE BOUCHER-SNODGRASS |
| Credential | PH.D. |
| Practice Address |
5004 Highway 39 N Meridian MS 39301-1021 |
| Mailing Address |
Po Box 8068 Meridian MS 39303-8068 |
| Practice Telephone | 6016938307 |
| Practice Fax Number | 6016396794 |
| Mailing Telephone | 6016938307 |
| Mailing Fax Number | 6016936794 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 45-732 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07170249 | 05 |
| Street Address |
5004 HIGHWAY 39 N |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700865235 | Stacy Rae Andreacchio | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| 1881254837 | Jennifer Michelle Alford | Counselor | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2019-06-20 |
| 1760906846 | Lindsey Stevens Blount | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2017-07-31 |
| 1619348182 | Jessica Richardson | Counselor | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2015-10-09 |
| 1124234307 | Patricia Lynn Dudley | Psychiatry & Neurology | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2007-05-15 |
| 1104931930 | Rosanne Nunnery | Counselor | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-08-20 |
| 1558382101 | Jennifer F Whitcomb | Counselor | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-07-21 |
| 1881673317 | Patricia M Sandusky | Psychologist | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| 1154300663 | Kenneth R Schneider | Psychologist | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326380197 | Jeffrey Schloemer | Psychologist | 1530 W Ann Taylor St, Apt G102, Meridian, ID 83646-4005 | 2013-03-20 |
| 1336335546 | Psychology Associates, LLC | Psychologist | 5004 Hwy 39 N, Meridian, MS 39301-1021 | 2007-09-20 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1093860561 | Mack B. Stephenson, Ph.d., Chtd | Psychologist | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 | 2007-01-24 |
| 1144305749 | Barney Greenspan | Psychologist | 1302 E Green Haven St, Meridian, ID 83646-5935 | 2006-10-25 |
| 1992326599 | Lynn Laird | Psychologist | 3120 W Belltower Dr Ste 175, Meridian, ID 83646-6000 | 2020-05-05 |
| 1972852572 | Johnathan August Sharrette | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642 | 2012-08-29 |
| 1053689356 | Ryan J Hulbert | Psychologist | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2011-12-01 |
| 1467676254 | Mack B. Stephenson | Psychologist | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 | 2007-04-12 |
| 1437219227 | Psychology Services of Idaho, Pllc | Psychologist | 2365 E Gala St, Suite #2, Meridian, ID 83642-4881 | 2006-12-11 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on MICHELLE DENISE BOUCHER-SNODGRASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.