| Doctor Name: | DEBORAH WACHTER BOUCHA |
| NPI Number: | 1174846653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801089036 |
| Business Practice Address: | 120 W Exchange St Suite 300 Owosso, MI - 488672834 |
| Business Phone Number: | 9897238239 |
| Business Fax Number: | 9897238230 |
| Mailing Address: | 901 Chippewa St, FLINT |
| State: | MI |
| Postal Code: | 485031552 |
| Phone Number: | 8102329950 |
| Fax Number: | 8102327599 |
| NPI Enumeration Date: | 03/11/2010 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801089036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |