Active NPIIndividual providerSole proprietor

Dr. Nina E Boulard, PHD

Psychologist, Health in Bangor, Maine

NPI Number1639429624
Practice location
905 Union St, Ste 9, Bangor, ME 04401-3050
Fax
207-973-5845
Last updated
March 31, 2020

Nina E Boulard is a Psychologist, Health based in Bangor, ME. Nina E Boulard practices in Bangor, ME and has the professional credentials of PHD. The NPI Number for Nina E Boulard is 1639429624 and holds a License No. PS1146 (ME). The current practice location address for Nina E Boulard is 905 Union St, Ste 9, Bangor, ME 04401-3050 and can be reached out via phone at 207-973-4037 and via fax at 207-973-5845.

Provider Profile Details

NPI Number
1639429624
Provider Name
Nina E Boulard
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
905 Union St, Ste 9, Bangor, ME 04401-3050
Phone Number
207-973-4037
Fax Number
207-973-5845
Primary Taxonomy
Psychologist, Health · 103TH0004X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2012
Last Update Date
March 31, 2020
Certification Date
March 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
905 Union St
Ste 9
Bangor, ME 04401-3050
City
Bangor
State
Maine
Zip
04401-3050
Phone Number
207-973-4037
Fax Number
207-973-5845
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006
City
Brewer
State
ME
Zip
04412-1006
Phone Number
207-973-4037
Fax Number
207-973-5845

License Information

License Number
PS1146
License State
ME
Taxonomy
Psychologist, Health · 103TH0004X · 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. Nina E Boulard, PHD?

The NPI number of Dr. Nina E Boulard, PHD is 1639429624. It was assigned on September 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Nina E Boulard, PHD?

Dr. Nina E Boulard, PHD is registered under the primary taxonomy Psychologist, Health (code 103TH0004X), licensed in ME under license number PS1146.

Where does Dr. Nina E Boulard, PHD practice?

The practice location is 905 Union St, Ste 9, Bangor, ME 04401-3050. The office can be reached at 207-973-4037 (phone) or 207-973-5845 (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 1639429624 directly on the NPPES registry website.

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