Active NPIIndividual providerSole proprietor

Dr. Elizabeth A Boetsch, PHD

Psychologist, Clinical Child & Adolescent in Camden, Maine

NPI Number1538348107
Practice location
21 Elm St, Third Floor, Camden, ME 04843-1949
Fax
207-236-0655
Last updated
October 30, 2007

Elizabeth A. Boetsch is a Psychologist, Clinical Child & Adolescent based in Camden, ME. Elizabeth A. Boetsch practices in Camden, ME and has the professional credentials of PHD. The NPI Number for Elizabeth A. Boetsch is 1538348107 and holds a License No. PS965 (ME). The current practice location address for Elizabeth A. Boetsch is 21 Elm St, Third Floor, Camden, ME 04843-1949 and can be reached out via phone at 207-236-8385 and via fax at 207-236-0655.

Provider Profile Details

NPI Number
1538348107
Provider Name
Elizabeth A. Boetsch
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
21 Elm St, Third Floor, Camden, ME 04843-1949
Phone Number
207-236-8385
Fax Number
207-236-0655
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
October 30, 2007
Last Update Date
October 30, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Elm St
Third Floor
Camden, ME 04843-1949
City
Camden
State
Maine
Zip
04843-1949
Phone Number
207-236-8385
Fax Number
207-236-0655
Camden, ME 04843Get directions →

Provider Business Mailing Address Details

Address
Po Box 44
Rockport, ME 04856-0044
City
Rockport
State
ME
Zip
04856-0044
Phone Number
207-236-8385
Fax Number
207-236-0655

License Information

License Number
PS965
License State
ME
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Elizabeth A Boetsch, PHD?

The NPI number of Dr. Elizabeth A Boetsch, PHD is 1538348107. It was assigned on October 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth A Boetsch, PHD?

Dr. Elizabeth A Boetsch, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in ME under license number PS965.

Where does Dr. Elizabeth A Boetsch, PHD practice?

The practice location is 21 Elm St, Third Floor, Camden, ME 04843-1949. The office can be reached at 207-236-8385 (phone) or 207-236-0655 (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 1538348107 directly on the NPPES registry website.

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