Individual
JONATHAN ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
30 DANFORTH ST STE 311, PORTLAND, ME 04101-4574
(207) 619-3356
Mailing address
PO BOX 8484, PORTLAND, ME 04104-8484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3768
CT
Other
Enumeration date
08/31/2018
Last updated
12/03/2024
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