Provider Demographics
NPI:1922283399
Name:BOULIER, APRIL JEAN (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:JEAN
Last Name:BOULIER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 LIBBY HILL RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:ME
Mailing Address - Zip Code:04965-3018
Mailing Address - Country:US
Mailing Address - Phone:207-581-1392
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MAINE CUTLER HEALTH CENTER
Practice Address - Street 2:5721 COLLEGE AVE
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04469-0001
Practice Address - Country:US
Practice Address - Phone:207-581-1392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS776103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEBOMM6464Medicare PIN