Organization
TOM NEGRON, PH.D, PA
Active
Other names
tom negron, ph.d.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM NEGRON PH.D. (PRESIDENT)
(207) 772-1164
Entity
Organization
Contact information
Practice address
4 CUMMINGS DR, GORHAM, ME 04038-2452
(207) 772-1164
(207) 772-2670
Mailing address
PO BOX 788, WINDHAM, ME 04062-0788
(207) 772-1164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY712
ME
Other
Enumeration date
09/03/2008
Last updated
11/07/2021
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