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Individual
DR. ROBERT WAYNE SIVISKI
Active
Individual
DR. ROBERT WAYNE SIVISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS587
ME
103TB0200X
Cognitive & Behavioral Psychologist
PS587
ME
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS587
ME
103TS0200X
School Psychologist
PS587
ME
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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