Organization
ROBERT PEDDICORD PHD GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S. PEDDICORD PHD (OWNER)
(207) 944-9315
Entity
Organization
Contact information
Practice address
200 GROVE ST, BANGOR, ME 04401-4008
(207) 944-9315
Mailing address
200 GROVE ST, BANGOR, ME 04401-4008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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