Deborah J Devine Psyd, Pa | |
20 Mechanic St Gorham ME 04038-1560 | |
(207) 839-2450 | |
(207) 839-6469 |
Full Name | Deborah J Devine Psyd, Pa |
---|---|
Speciality | Psychologist |
Location | 20 Mechanic St, Gorham, Maine |
Authorized Official Name and Position | Deborah J Devine (OWNER) |
Authorized Official Contact | 2078392450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deborah J Devine Psyd, Pa 20 Mechanic St Gorham ME 04038-1560 Ph: (207) 839-2450 | Deborah J Devine Psyd, Pa 20 Mechanic St Gorham ME 04038-1560 Ph: (207) 839-2450 |
NPI Number | 1114194081 |
---|---|
Provider Enumeration Date | 05/10/2008 |
Last Update Date | 09/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114194081 | NPI | - | NPPES |
251920000 | Medicaid | ME | |
ME0237 | Other | ME | MEDICARE |
025624 | Other | ME | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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