Organization
DEBORAH J DEVINE PSYD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J DEVINE PSYD (OWNER)
(207) 839-2450
Entity
Organization
Contact information
Practice address
20 MECHANIC ST, GORHAM, ME 04038-1560
(207) 839-2450
(207) 839-6469
Mailing address
20 MECHANIC ST, GORHAM, ME 04038-1560
(207) 839-2450
(207) 839-6469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025624
ANTHEM
ME
05
—
251920000
—
ME
01
—
ME0237
MEDICARE
ME
Enumeration date
05/10/2008
Last updated
09/12/2008
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