Individual
DR. KERRY E. HOAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
192 YORK ST, YORK, ME 03909-1021
(207) 450-9002
Mailing address
PO BOX 299, YORK, ME 03909-0299
(207) 450-9002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1206
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30423092
—
NH
Enumeration date
06/11/2006
Last updated
10/16/2007
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