Individual
DANIEL F BRANGWYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4400
(207) 872-4621
Mailing address
150 DRESDEN AVE, GARDINER, ME 04345-2615
(207) 621-9337
(207) 621-3609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS612
ME
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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