| Organization Name: | BLUE HILL PSYCHOLOGICAL SERVICES INC |
| NPI Number: | 1578613816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORRAINE H. HUCKEL (OWNER) |
| Mailing Address: | 65 Union St. Blue Hill |
| State: | ME US |
| Postal Code: | 04416 |
| Phone Number: | 2073745811 |
| Fax Number: | 8666209643 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 12/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |