Individual
SUSAN M KOHAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 DANFORTH ST, PORTLAND, ME 04101
(207) 772-4211
Mailing address
PO BOX 2524, SOUTH PORTLAND, ME 04116
(207) 772-4211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
586
ME
103TC0700X
Clinical Psychologist
Primary
PS586
ME
Other
Enumeration date
11/01/2006
Last updated
04/13/2016
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