Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tara Ann Boettcher, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912926478

Mrs. Tara Ann Boettcher, MS, CCC-SLP is a Speech-Language Pathologist in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

1285 N Main St Ste 101-1
Mansfield, TX 76063-1511
Phone: (682) 400-8132
Fax: (682) 400-8235
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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 101905 (TX)

Record details

NPI number1912926478
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

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