Doctor Name: | MS. JOANNA C BULGER |
NPI Number: | 1932418811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC6035 |
Business Practice Address: | 55 Fogg Rd Buxton, ME - 040933614 |
Business Phone Number: | 2072285080 |
Business Fax Number: | |
Mailing Address: | Po Box 920, BUXTON |
State: | ME |
Postal Code: | 040930920 |
Phone Number: | 2072285080 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2010 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC6035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |