Nicole Bourassa, MS CCC-SLP - Speech-Language Pathologist in Needham, MA

Nicole Bourassa, MS CCC-SLP is a Speech-language Pathologist based in Needham, Massachusetts. Nicole Bourassa is licensed to practice in Massachusetts (license number 7260) and her current practice location is 409 Greendale Ave, Needham, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (781) 449-0776.

NPI number for Nicole Bourassa is 1053555615 and her current mailing address is 409 Greendale Ave, Needham, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053555615.

Contact Information

Nicole Bourassa, MS CCC-SLP
409 Greendale Ave,
Needham, MA 02492-4003
(781) 449-0776
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Bourassa
GenderFemale
SpecialitySpeech-language Pathologist
Location409 Greendale Ave, Needham, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053555615
  • Provider Enumeration Date: 04/27/2009
  • Last Update Date: 04/27/2009

Medical Identifiers

Medical identifiers for Nicole Bourassa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053555615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7260 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Bourassa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Bourassa, MS CCC-SLP
409 Greendale Ave,
Needham, MA 02492-4003

Ph: () -
Nicole Bourassa, MS CCC-SLP
409 Greendale Ave,
Needham, MA 02492-4003

Ph: (781) 449-0776

Reviews and Comments


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