| NPI | 1356697510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GREENE Psychologist 207-649-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS 1024) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-11-26 |