Robert Peddicord Phd Group | |
200 Grove St Bangor ME 04401-4008 | |
(207) 944-9315 | |
Not Available |
Full Name | Robert Peddicord Phd Group |
---|---|
Speciality | Psychologist |
Location | 200 Grove St, Bangor, Maine |
Authorized Official Name and Position | Robert S. Peddicord (OWNER) |
Authorized Official Contact | 2079449315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert Peddicord Phd Group 200 Grove St Bangor ME 04401-4008 Ph: () - | Robert Peddicord Phd Group 200 Grove St Bangor ME 04401-4008 Ph: (207) 944-9315 |
NPI Number | 1003319583 |
---|---|
Provider Enumeration Date | 03/12/2018 |
Last Update Date | 03/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003319583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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