Individual
DR. JAMES MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
53 BAXTER BLVD, PORTLAND, ME 04101-1827
(207) 774-8700
Mailing address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
(207) 774-8700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
05949
MD
103TC0700X
Clinical Psychologist
Primary
PS1573
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205210127
—
DE
05
—
1205210127
—
MD
05
—
1205210127
—
ME
Enumeration date
07/10/2015
Last updated
08/23/2024
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