Individual
CATHERINE M JOYCE BULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 HELEN ST, WINSLOW, ME 04901-7121
(509) 366-2500
Mailing address
2 HELEN ST, WINSLOW, ME 04901-7121
(541) 513-4503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP6964
AZ
235Z00000X
Speech-Language Pathologist
Primary
SP1957
ME
235Z00000X
Speech-Language Pathologist
ST 1855
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433023599
MAINE CARE NUMBER
ME
01
—
SLP6964
STATE LICENSE
AZ
01
—
ST 1855
STATE LICENSE NUMBER
ME
Enumeration date
04/23/2009
Last updated
01/04/2024
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