Clyde L Boucher (NPI# 1538489968, PAC ID# 6901116383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1538489968 |
| PAC ID by PECOS | 6901116383 |
| Professional Enrollment ID | I20151116000981 |
| Full Name | Clyde L Boucher |
| Organization Legal Name | MERIDIAN COUNSELING SERVICES, LLC |
| Address |
1930 Marlton Pike E Suite R91 Cherry Hill NJ 08003-4207 |
| Phone Number | 8567510505 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3173835097 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 | 8567510505 | MERIDIAN COUNSELING SERVICES, LLC |
| Organization Legal Name | MERIDIAN COUNSELING SERVICES, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Silver | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite V 105, Cherry Hill, NJ 08003-2150 |
| Amanda J Ihlenfeld | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Conrad S Fountaine | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Susan F Ouslander | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Caroline Martin | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Elana L Dobrowolski | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Kathryn Rim | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite V 105, Cherry Hill, NJ 08003-2150 |
| Danielle Clauss | Clinical Psychologist | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Shanna Manger | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Miriam Stern | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Street Address |
1930 MARLTON PIKE E SUITE R91 |
| City | CHERRY HILL |
| State | NJ |
| Zip | 08003-4207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Silver | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite V 105, Cherry Hill, NJ 08003-2150 |
| Amanda J Ihlenfeld | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Marci H Levine | Clinical Social Worker | 1930 Marlton Pike E, Suite M69, Cherry Hill, NJ 08003-4202 | |
| Conrad S Fountaine | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Joellyn L Ross | Psychologist, Clinical | 1930 Marlton Pike E, J 49, Cherry Hill, NJ 08003-4106 | |
| Mary Ann Ager | Psychiatry | 1930 Marlton Pike E, Suite Q11, Cherry Hill, NJ 08003-2150 | |
| Saute K Dean | Chiropractic | 1930 Marlton Pike E, Suite J51, Cherry Hill, NJ 08003-4106 | |
| Susan F Ouslander | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Caroline Martin | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Elana L Dobrowolski | Clinical Social Worker | Meridian Counseling Services, LLC | 1930 Marlton Pike E, Suite R91, Cherry Hill, NJ 08003-4207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley R Guglielmo | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 101 Springdale Rd, Cherry Hill, NJ 08003 |
| Andrew Michael Evans | Physical Therapy | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Alexis Maureen Kristen | Occupational Therapy | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Kayleigh Burke | Qualified Speech Language Pathologist | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Michela Papaccio | Physical Therapy | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Sandra M Waas | Physical Therapy | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Alison R Hopely | Occupational Therapy | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Jennifer Shannon | Qualified Speech Language Pathologist | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Kristen Conover | Qualified Speech Language Pathologist | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Julia Barbour | Occupational Therapy | Fox Rehabilitation Services Inc | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
| Find all physicians in zip 08003 | |||
| City | CHERRY HILL |
| Zip Code | 08003 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHERRY HILL + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Clyde L Boucher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.