Active NPIIndividual provider

Susanne Boulette

Developmental Therapist in Lewiston, Maine

NPI Number1366642548
Practice location
1567 Lisbon St, Lewiston, ME 04240-3545
Fax
207-795-4082
Last updated
July 25, 2007

Susanne Boulette is a Developmental Therapist based in Lewiston, ME. Susanne Boulette practices in Lewiston, ME. The NPI Number for Susanne Boulette is 1366642548 and holds a License No. 282 385124 (ME). The current practice location address for Susanne Boulette is 1567 Lisbon St, Lewiston, ME 04240-3545 and can be reached out via phone at 207-795-4022 and via fax at 207-795-4082.

Provider Profile Details

NPI Number
1366642548
Provider Name
Susanne Boulette
Provider Entity Type
Individual
Gender
Female
Address
1567 Lisbon St, Lewiston, ME 04240-3545
Phone Number
207-795-4022
Fax Number
207-795-4082
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2007
Last Update Date
July 25, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1567 Lisbon St
Lewiston, ME 04240-3545
State
Maine
Zip
04240-3545
Phone Number
207-795-4022
Fax Number
207-795-4082
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
1567 Lisbon St
Lewiston, ME 04240-3545
City
Lewiston
State
ME
Zip
04240-3545
Phone Number
207-795-4022
Fax Number
207-795-4082

License Information

License Number
282 385124
License State
ME
Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Developmental Therapists near Lewiston, ME

View all Developmental Therapists in Lewiston →

Frequently Asked Questions

What is the NPI number of Susanne Boulette?

The NPI number of Susanne Boulette is 1366642548. It was assigned on July 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Susanne Boulette?

Susanne Boulette is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in ME under license number 282 385124.

Where does Susanne Boulette practice?

The practice location is 1567 Lisbon St, Lewiston, ME 04240-3545. The office can be reached at 207-795-4022 (phone) or 207-795-4082 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366642548 directly on the NPPES registry website.

Browse related providers