NPI | 1639397664 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN CHRISTIE President Owner 207-774-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1197) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY002054) |
103TC0700X Psychologist, Clinical (Licence: FL PY 5524) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2010-06-28 |