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Individual

DAVID C BELLOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
240 MAINE ST, BRUNSWICK, ME 04011-3365
(207) 729-0857
Mailing address
22 SUMAC DR, BRUNSWICK, ME 04011-3454
(207) 729-0857

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS435
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003543
ANTHEM STAR #
ME
05
231270000
ME
01
5005256
AETNA
ME
Enumeration date
07/12/2006
Last updated
12/01/2015
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