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Contact Information

NINA E BOULARD, PhD
905 UNION ST
STE 9
BANGOR, ME04401-3050
 Phone: 207-973-4037
 Fax: 207-973-5845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NINA E BOULARD · (Female)

NPI # 1639429624
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/17/2012
Last updated 03/31/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PS1146
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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