Healthcare Provider Details

I. General information

NPI: 1841807823
Provider Name (Legal Business Name): BRUCE BOSINGER LCPC-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 MAIN ST
BAR HARBOR ME
04609-1648
US

IV. Provider business mailing address

73 MORANCY RD
SULLIVAN ME
04664-3620
US

V. Phone/Fax

Practice location:
  • Phone: 207-288-8604
  • Fax: 207-288-8602
Mailing address:
  • Phone: 603-714-1036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC7000
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberXL5331
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: