Organization
A & L CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E JOHNSON JR. PSY.D. (PSYCHOLOGIST)
(207) 768-1676
Entity
Organization
Contact information
Practice address
742 MAIN STREET, PRESQUE ISLE, ME 04769
(207) 768-1676
Mailing address
646 FOREST AVE, FORT FAIRFIELD, ME 04742-3507
(207) 768-1676
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS1294
ME
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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