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Contact Information

BOULOS PSYCHOLOGICAL SERVICES LLC
60 EDGEWOOD RD
CAPE ELIZABETH, ME04107-1277
 Phone: 207-671-7361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BOULOS PSYCHOLOGICAL SERVICES LLC

NPI # 1801501119
LBN Legal business name BOULOS PSYCHOLOGICAL SERVICES LLC
Authorized official JAYNE BOULOS - (OWNER/PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2023
Last updated 01/20/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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