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MALLORY COLLEEN BOUQUE
NPI 1023861341
Student in an Organized Health Care Education/Training Program in Garfield Heights, OH

Active since April 08, 2024
13201 GRANGER RD, GARFIELD HEIGHTS, OH 44125(248) 464-3927 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Mallory Colleen Bouque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY COLLEEN BOUQUE (NPI 1023861341) is an individual student in an organized health care education/training program in Garfield Heights, Ohio and active in the NPI registry since April 2024. She maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1023861341
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY COLLEEN BOUQUE
Location Address13201 GRANGER RDGarfield Heights, OH 44125-1978
Mailing Address13201 Granger RdGarfield Heights, OH 44125-1978
Phone(248) 464-3927
Sole ProprietorYes
Enumeration DateApril 8, 2024
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1023861341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13201 GRANGER RD, Garfield Heights, OH 44125
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Secondary Practice Location 1

Location 111235 Bellflower RdCleveland, OH 44106-3932 · Phone (248) 464-3927

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA ERSIG
Social Worker (Clinical)
13201 GRANGER RD
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (419) 346-4710
TAMELITA WILLIAMS-HARRIS
Case Manager/Care Coordinator
13201 GRANGER RD
CLEVELAND, OH 44125
Cuyahoga County (216) 831-2255
DENISE L GREEN LSW
Social Worker (Clinical)
13201 GRANGER RD
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 831-2255
DR. JEANNE KNOTEK M.D.
Obstetrics & Gynecology
13201 GRANGER RD, SUITE 3
GARFIELD HTS, OH 44125
Cuyahoga County (216) 662-1900
MS. KATIE LUCILLE GALLAND MA
Counselor (Professional)
13201 GRANGER RD
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 831-4215
MONAYE DAVIS
Social Worker (Clinical)
13201 GRANGER RD
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 831-2255
ANNA TAYLOR COUGHLIN
Case Manager/Care Coordinator
13201 GRANGER RD
CLEVELAND, OH 44125
Cuyahoga County (216) 831-2255
LINDSEY SOLTISZ
Social Worker (Clinical)
13201 GRANGER RD
CLEVELAND, OH 44125
Cuyahoga County (216) 831-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Bouque's NPI number?

The NPI number for Mallory Bouque is 1023861341. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Mallory Bouque located?

Mallory Bouque practices at 13201 Granger Rd, Garfield Heights, OH 44125. The listed phone number is (248) 464-3927.

What is Mallory Bouque's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mallory Bouque was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.