Individual
AMEDEE ST.PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
71 US ROUTE 1 STE C, SCARBOROUGH, ME 04074-7174
(207) 662-1442
Mailing address
71 US ROUTE 1 STE C, SCARBOROUGH, ME 04074-7174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
10368133-2501
UT
103T00000X
Psychologist
PS2598
ME
103TC0700X
Clinical Psychologist
Primary
071010748
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174979132
—
UT
Enumeration date
05/09/2016
Last updated
11/07/2024
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