Dr Gillian Boudreau, PHD is a
Psychologist - Clinical based in South Burlington, Vermont. Dr Gillian Boudreau is licensed to practice in Vermont (license number 048.0072593) and her current practice location is
364 Dorset St, Suite 212, South Burlington, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 658-9440.
NPI number for Dr Gillian Boudreau is 1386893683 and her current mailing address is 364 Dorset St, Suite 212, South Burlington, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386893683.
Healthcare Provider's Profile
| Full Name | Dr Gillian Boudreau |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 364 Dorset St, South Burlington, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386893683
- Provider Enumeration Date: 09/11/2008
- Last Update Date: 05/14/2012
Medical Identifiers
Medical identifiers for Dr Gillian Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386893683 | NPI | - | NPPES |
| 12350163 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 048.0072593 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gillian Boudreau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gillian Boudreau, PHD
364 Dorset St, Suite 212,
South Burlington, VT 05403-6270
Ph: () - | Dr Gillian Boudreau, PHD
364 Dorset St, Suite 212,
South Burlington, VT 05403-6270
Ph: (802) 658-9440 |
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