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Individual

DR. LESLIE E SPIETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
10 OCEAN VIEW DR, BRUNSWICK, ME 04011-7922
(207) 406-4877
Mailing address
30 PLEASANT ST UNIT 220, BRUNSWICK, ME 04011-4009
(207) 406-4877

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
7318
MA
103TC0700X
Clinical Psychologist
Primary
1578
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376524546
MA
Enumeration date
11/07/2005
Last updated
09/01/2022
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