Provider Demographics
NPI:1619111598
Name:JOYCE BULAY, CATHERINE M
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:JOYCE BULAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HELEN ST
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:ME
Mailing Address - Zip Code:04901-7121
Mailing Address - Country:US
Mailing Address - Phone:541-513-4503
Mailing Address - Fax:
Practice Address - Street 1:2 HELEN ST
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:ME
Practice Address - Zip Code:04901-7121
Practice Address - Country:US
Practice Address - Phone:509-366-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEST 1855235Z00000X
AZSLP6964235Z00000X
MESP1957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME433023599OtherMAINE CARE NUMBER
AZSLP6964OtherSTATE LICENSE
MEST 1855OtherSTATE LICENSE NUMBER