| NPI | 1578019113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA WARD-GRAY Clinical Psychologist 207-232-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS881) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |