| NPI | 1992999627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WARD SELBY Licensed Psychologist 207-262-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1017) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |