Organization
RE/VISION ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNAH F. RISTINE EDD. (LICENSED PSYCHOLOGIST)
(207) 985-3137
Entity
Organization
Contact information
Practice address
5 NASON COURT, SUITE 7, KENNEBUNK, ME 04043-7051
(207) 985-3137
(207) 985-2640
Mailing address
5 NASON COURT, SUITE 7, KENNEBUNK, ME 04043
(207) 985-3137
(207) 985-2640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS645
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114230100
—
ME
Enumeration date
05/05/2009
Last updated
05/05/2009
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