MARY E FOGG

PORTLAND, ME
NPI1639264930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: ME  PS550)
Enumeration Date2006-10-03
Last Update Date2008-12-15
Business Address
Dr. MARY E FOGG PhD
131 CHADWICK STREET
PORTLAND, ME 04102
Phone number: 207-662-4389
Mailing Address
Dr. MARY E FOGG PhD
45 LADY'S SLIPPER WAY
GORHAM, ME 04038
Phone number: