Individual
DR. KATHLEEN M HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
87 WOODLANDS DR, FALMOUTH, ME 04105-1189
(207) 781-5445
Mailing address
87 WOODLANDS DR, FALMOUTH, ME 04105-1189
(207) 781-5445
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS1028
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041453
ME BLUE SHIELD
ME
Enumeration date
07/31/2006
Last updated
07/08/2007
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