Individual provider · Type 1 NPI
Maxime Blaise Bourgault
Psychologist · Dallas, TX
Practice location
6139 Richmond Ave
Dallas, TX 75214-3635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 41248 (TX) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1023921301
Maxime Blaise Bourgault's National Provider Identifier is 1023921301, issued on Sep 25, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 25, 2026.