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

Te'Ara Sharae Bouldin

Individual provider Speech-Language Pathologist · NPI 1861235012

Te'Ara Sharae Bouldin is a Speech-Language Pathologist in Warner Robins, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

120 Latham Dr
Warner Robins, GA 31088-2146
Phone: (478) 887-3141
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 SLP013078 (GA)

Record details

NPI number1861235012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

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