Jennie S. Dubosky in Bangor - Psychiatric/mental Health, Child & Adolescent

Jennie S. Dubosky - NPI 1265408777

Jennie S. Dubosky is a Psychiatric/mental Health, Child & Adolescent in Bangor, Maine. Jennie S. Dubosky practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Jennie S. Dubosky is 1265408777. The last update date is 2010-06-29.

Jennie S. Dubosky's current location address is 1068 Union St, Bangor, Maine. You can contact this provider via phone number 2079470147 and fax number 2079903365. The mailing address for Jennie S. Dubosky is 1068 Union St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennie S. Dubosky
Address 1068 Union St, Bangor, Maine
Phone Number 2079470147
Fax Number 2079903365
Sole Proprietor N
Credentials MS, A.P.R.

NPI Number Detail

NPI Number 1265408777
Provider Enumeration Date 2006-02-24
Last Updated Date 2010-06-29

Provider Mailing Address Detail

Address 1068 Union St
City Bangor
State Maine (ME)
Post Code 4401
Phone Number 2079470147
Fax Number 2079903365

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Child & Adolescent
Taxonomy 364Sp0807X
Licence No R053433
Definition:
A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
432545299 ME --

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FAQs about Jennie S. Dubosky

What is the Jennie S. Dubosky's 1265408777?

The Jennie S. Dubosky's NPI (National Provider Identifier) Number is 1265408777. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jennie S. Dubosky?

The Jennie S. Dubosky is situated at 1068 Union St, in the city of Bangor, state of ME, with the zip code 4401.

What is the area of specialization for Jennie S. Dubosky, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennie S. Dubosky is Psychiatric/mental Health, Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 364Sp0807X.

When did the Jennie S. Dubosky receive its 1265408777?

The Jennie S. Dubosky was issued its 1265408777 on 2006-02-24, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Jennie S. Dubosky most recently updated or revised?

The information pertaining to Jennie S. Dubosky, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-29.

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