Individual provider · Type 1 NPI

Mary A. Boutselis

Clinical Psychologist · University Park, PA

NPI number 1720013634 Active

Practice location

314 Moore Building
University Park, PA 16802

Fax (814) 863-1331

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS005233L (PA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1720013634

Mary A. Boutselis's National Provider Identifier is 1720013634, issued on Jul 11, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in University Park, PA. The record was last updated on Jul 8, 2007.