Individual
PETER LEE ROSENCRANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
171 WARREN AVE, PORTLAND, ME 04103-1103
(207) 607-4022
Mailing address
171 WARREN AVE, PORTLAND, ME 04103-1103
(207) 607-4022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS2624
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2018
Last updated
02/05/2025
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