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Individual

DR. KIMBERLY CHRISTINE DROUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
609 MAIN ST, SUITE 3, SOUTH PORTLAND, ME 04106-5453
(207) 775-2220
(207) 775-2226
Mailing address
609 MAIN ST, SUITE 3, SOUTH PORTLAND, ME 04106-5453
(207) 775-2220
(207) 775-2226

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
8121
MA
103T00000X
Psychologist
Primary
PS1191
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006065
MEDICARE PTAN
ME
01
472796000
MAGELLAN
MA
01
W06272
BCBS OF MASS.
MA
Enumeration date
01/15/2007
Last updated
10/23/2008
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