Individual
DR. WILLIAM H. SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
205 OCEAN AVE, PORTLAND, ME 04103-5712
(207) 773-7993
(207) 773-5512
Mailing address
205 OCEAN AVE, PORTLAND, ME 04103-5712
(207) 773-7993
(207) 773-5512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 1233
ME
103TC0700X
Clinical Psychologist
PS016056
PA
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005633
MEDICARE PTAN
ME
Enumeration date
07/13/2006
Last updated
04/11/2009
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