Susanne Boulette in Lewiston - Developmental Therapist
Susanne Boulette - NPI 1366642548
Susanne Boulette is a Developmental Therapist in Lewiston, Maine. Susanne Boulette practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Susanne Boulette is 1366642548. The last update date is 2007-07-25.
Susanne Boulette's current location address is 1567 Lisbon St, Lewiston, Maine. You can contact this provider via phone number 2077954022 and fax number 2077954082. The mailing address for Susanne Boulette is 1567 Lisbon St, Lewiston, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne Boulette |
|---|---|
| Address | 1567 Lisbon St, Lewiston, Maine |
| Phone Number | 2077954022 |
| Fax Number | 2077954082 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366642548 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 1567 Lisbon St |
|---|---|
| City | Lewiston |
| State | Maine (ME) |
| Post Code | 42403545 |
| Phone Number | 2077954022 |
| Fax Number | 2077954082 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susanne Boulette by the Centers for Medicare & Medicaid Services?
The Susanne Boulette has been issued the NPI (National Provider Identifier) 1366642548, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susanne Boulette is located?
The Susanne Boulette is situated at the following address: 1567 Lisbon St, Lewiston, ME, 42403545.
What is Susanne Boulette's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susanne Boulette is Developmental Therapist, and the corresponding taxonomy classification code for this specialized field is 222Q00000X.
On what date did Susanne Boulette receive its 1366642548 assignment from the Centers for Medicare & Medicaid Services?
The Susanne Boulette was assigned its 1366642548 on 2007-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Susanne Boulette, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susanne Boulette, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-25.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN