Individual
MIRIAM WOLFENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
62 PORTLAND RD 42, KENNEBUNK, ME 04043-6650
(207) 251-7147
(888) 858-8495
Mailing address
50 BROWN ST, KENNEBUNK, ME 04043-7242
(207) 467-3115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1416
ME
Other
Enumeration date
01/20/2012
Last updated
05/09/2019
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