| NPI | 1225542400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER VAIL WILLIAMSON Psychologist 207-522-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 8416054-2501) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-05-08 |