Individual
DR. JESSICA SOLKY BUTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1226 SHORE RD, CAPE ELIZABETH, ME 04107-2123
(207) 332-7670
Mailing address
12 LEIGHTON FARM RD, CAPE ELIZABETH, ME 04107-9704
(207) 332-7670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1160
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100529
BCBS PAYER NUMBER
ME
Enumeration date
05/03/2007
Last updated
07/08/2007
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