| NPI | 1710403571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN D. SANFORD Principal Member 207-352-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-03-13 |