Individual provider · Type 1 NPI
Patron Nkurunziza Bazoza, MD
Intellectual & Developmental Disabilities Psychologist · South Portland, ME
NPI number
1285408138
Active
Practice location
586 Westbrook St
South Portland, ME 04106-1400
Mailing address
586 Westbrook St Unit 407
South Portland, ME 04106-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1285408138
Patron Nkurunziza Bazoza, MD's National Provider Identifier is 1285408138, issued on Nov 10, 2023. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in South Portland, ME. The record was last updated on Nov 10, 2023.