Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elaina Leigh Bouchard

Individual provider Speech-Language Pathologist · NPI 1376253013

Elaina Leigh Bouchard is a Qualified Speech Language Pathologist in Myrtle Beach, South Carolina. Qualified in 2020, 6 years ago. Practices with Fox Rehabilitation Services of South Carolina, LLC, a 293-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2022
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Practice location Address checks out

4057 Grousewood Dr
Myrtle Beach, SC 29588-6797
Phone: (401) 529-5562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (SC)

Record details

NPI number1376253013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 4, 2022
Mailing address4057 Grousewood Dr, Myrtle Beach, SC 29588-6797

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehabilitation Services Of South Carolina, Llc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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