Individual
DR. CHERYL S PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
232 SEVENTH ST, BANGOR, ME 04401
(207) 942-0107
Mailing address
232 SEVENTH ST, BANGOR, ME 04401
(207) 942-0107
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
414
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225760000
—
ME
Enumeration date
02/07/2007
Last updated
04/01/2016
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