| NPI | 1922133115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ALLEN MORSE President 207-662-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-12-22 |