HEATHER DAWN BOURASSA CCC-SLP
NPI 1104466739
Speech-Language Pathologist in Florissant, MO

Active since January 11, 2020
15875 NEW HALLS FERRY RD, FLORISSANT, MO 63031(314) 953-5400 Get Directions Write a Review

NPPES record last updated: January 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Dawn Bourassa Ccc-slp NPPES

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

HEATHER DAWN BOURASSA CCC-SLP (NPI 1104466739) is an individual speech-language pathologist provider in Florissant, Missouri, licensed in Missouri (2019045240) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1104466739
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameHEATHER DAWN BOURASSACredential: CCC-SLP
Location Address15875 NEW HALLS FERRY RDFlorissant, MO 63031-1225
Mailing Address2622 Gurney CtSaint Louis, MO 63110-3416 · (314) 599-4050
Sole ProprietorYes
Enumeration DateJanuary 11, 2020
NPI 1104466739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MO · 2019045240
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
15875 NEW HALLS FERRY RD, Florissant, MO 63031

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
15875 NEW HALLS FERRY RD
FLORISSANT, MO 63031
Occupational Therapist
15875 NEW HALLS FERRY RD
FLORISSANT, MO 63031
Speech-Language Pathologist
15875 NEW HALLS FERRY RD
FLORISSANT, MO 63031
Specialist/Technologist (Athletic Trainer)
15875 NEW HALLS FERRY RD
FLORISSANT, MO 63031
Speech-Language Pathologist
15875 NEW HALLS FERRY RD
FLORISSANT, MO 63031

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 Heather Bourassa's NPI number?

The NPI number for Heather Bourassa is 1104466739. It was assigned to this individual provider in the NPPES registry on January 11, 2020.

Where is Heather Bourassa located?

Heather Bourassa practices at 15875 New Halls Ferry Rd, Florissant, MO 63031. The listed phone number is (314) 953-5400.

What is Heather Bourassa's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Heather Bourassa was last updated on January 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.