Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary A Boutselis

Individual provider Clinical Psychologist · NPI 1720013634

Mary A Boutselis is a Clinical Psychologist in University Park, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

314 Moore Bldg
University Park, PA 16802
Phone: (814) 865-2191
Fax: (814) 863-1331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS005233L (PA)

Record details

NPI number1720013634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address314 Moore Building, University Park, PA 16802

Other providers in University Park