Individual
EILON NATHAN SHOMRON-ATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 FRONT ST STE C, BELFAST, ME 04915-6665
(347) 674-9532
Mailing address
33 FRONT ST STE C, BELFAST, ME 04915-6665
(347) 674-9532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1576
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2016
Last updated
11/06/2018
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