Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Dawn Bourassa, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104466739

Heather Dawn Bourassa, CCC-SLP is a Speech-Language Pathologist in Florissant, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

15875 New Halls Ferry Rd
Florissant, MO 63031-1225
Phone: (314) 953-5400
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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 · Licence 2019045240 (MO)

Record details

NPI number1104466739
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 11, 2020
Last updated in NPPESJanuary 11, 2020
Certification dateJanuary 11, 2020
Mailing address2622 Gurney Ct, Saint Louis, MO 63110-3416

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