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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