Heather Dawn Bourassa, CCC-SLP
NPI #1104466739 in Florissant, Missouri
Provider Information
- NPI Number
- 1104466739
- Entity Type
- Individual
- Name
- Heather Dawn Bourassa, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Jan 11, 2020
- Last Updated
- Jan 11, 2020
Practice Location
- Address
- 15875 NEW HALLS FERRY RD
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63031-1225
- Phone
- (314) 953-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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