| Boulos Psychological Services Llc | |
|
60 Edgewood Rd Cape Elizabeth ME 04107-1277 | |
| (207) 671-7361 | |
| Not Available |
| Full Name | Boulos Psychological Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 60 Edgewood Rd, Cape Elizabeth, Maine |
| Authorized Official Name and Position | Jayne Boulos (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2076717361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulos Psychological Services Llc 60 Edgewood Rd Cape Elizabeth ME 04107-1277 Ph: (207) 671-7361 | Boulos Psychological Services Llc 60 Edgewood Rd Cape Elizabeth ME 04107-1277 Ph: (207) 671-7361 |
| NPI Number | 1801501119 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801501119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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