Individual
DR. TIMOTHY C MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 LEAVITT ST, SKOWHEGAN, ME 04976-1805
(207) 474-7190
(207) 474-7117
Mailing address
7 LEAVITT ST, PO BOX 928, SKOWHEGAN, ME 04976-1805
(207) 474-7190
(207) 474-7117
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS685
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017237
ANTHEM BLUE CROSS
ME
01
—
2205772
AETNA PROVIDER NUMBER
ME
Enumeration date
03/02/2007
Last updated
07/09/2007
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