| NPI | 1295969301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNAH F. RISTINE Licensed Psychologist 207-985-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS645) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |