Organization
BOULOS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE BOULOS PSYD (OWNER/PSYCHOLOGIST)
(207) 671-7361
Entity
Organization
Contact information
Practice address
60 EDGEWOOD RD, CAPE ELIZABETH, ME 04107-1277
(207) 671-7361
Mailing address
60 EDGEWOOD RD, CAPE ELIZABETH, ME 04107-1277
(207) 671-7361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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