Individual
DR. KIRSTEN W MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
837 BROADWAY, SOUTH PORTLAND, ME 04106-2708
(207) 772-4191
(888) 688-1460
Mailing address
PO BOX 10437, PORTLAND, ME 04104
(207) 772-4191
(207) 899-2840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS924
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13550000
—
ME
Enumeration date
12/19/2006
Last updated
12/08/2010
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