| Doctor Name: | DR. DONNA MARIE BOUDREAU |
| NPI Number: | 1285806059 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 01079661 |
| Business Practice Address: | University Of Northern Colorado Gunter Hall Room 0330 Greeley, CO - 806390001 |
| Business Phone Number: | 9703512012 |
| Business Fax Number: | 9703511601 |
| Mailing Address: | University Of Northern Colorado, Gunter Hall Room 0330 GREELEY |
| State: | CO |
| Postal Code: | 806390001 |
| Phone Number: | 9703512012 |
| Fax Number: | 9703511601 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01079661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |