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1861007387
LYLE VINTINNER
PORTLAND, ME
NPI
1861007387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ME PS1866)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
LYLE VINTINNER Psy.D.
53 BAXTER BLVD STE 3
PORTLAND, ME 04101-1827
Phone number: 413-356-5423
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Mailing Address
LYLE VINTINNER Psy.D.
12 1ST ST STE 2
TOPSHAM, ME 04086-1334
Phone number:
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