Trisha Boucher
Individual provider Active NPI Developmental Therapist · Arundel, ME
NPI 1184820136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184820136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 0252201 (ME)
- Practice address
- 39 Limerick Rd
Arundel, ME 04046-8158 - Phone
- (207) 985-7861
- Fax
- (207) 985-6703
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0252201 | ME | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 0252201 | ME | Yes |
Addresses
Primary practice location
39 Limerick Rd
Arundel, ME 04046-8158
Mailing address
39 Limerick Rd
Arundel, ME 04046-8158
Phone (207) 985-7861
Other providers in Arundel, ME
- Lizabeth Bedard
- Karen M Benezra
- Lana M. Bennett
- Lauren Patricia Bicknell
- Elizabeth Boucher
- Broadleaf Behavioral Health PC
- Elizabeth Morrill Burke
- Jennifer P Campbell
- Jessie Mae Roh Chabot
- Child Development Services of York County
All providers in Arundel, ME · Developmental Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.