Individual
MS. GUY M BOULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.G.S.
Contact information
Practice address
3353 MENDON RD, CUMBERLAND, RI 02864-2122
(401) 658-0420
Mailing address
3353 MENDON RD, CUMBERLAND, RI 02864-2122
(401) 658-0420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
91
RI
Other
Enumeration date
10/29/2005
Last updated
07/08/2007
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