Individual
LAURA BEATRICE KAVESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 662-6348
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 662-6348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1105
ME
Other
Enumeration date
08/08/2006
Last updated
07/09/2007
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