Organization
BLUE HILL PSYCHOLOGICAL SERVICES INC
Active
Organization
BLUE HILL PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE H. HUCKEL PH.D. (OWNER)
(207) 374-5811
Entity
Organization
Contact information
Practice address
65 UNION ST., BLUE HILL, ME 04416
(207) 374-5811
(866) 620-9643
Mailing address
PO BOX 161, BLUE HILL, ME 04614-0161
(207) 374-5811
(866) 620-9643
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS758
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12706000
—
ME
Enumeration date
01/11/2007
Last updated
12/10/2012
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