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

Nicole Renae Boucher, SLP

Individual provider Speech-Language Pathologist · NPI 1053530345

Nicole Renae Boucher, SLP is a Speech-Language Pathologist in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

1702 University Dr S
Fargo, ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 771 (ND)

Record details

NPI number1053530345
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESJanuary 27, 2014

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