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Individual

RICHARD DEVILLERS SEYMOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED. D

Contact information

Practice address
132 PLEASANT ST, PORTLAND, ME 04101-3809
(207) 841-9418
(207) 798-3929
Mailing address
132 PLEASANT ST, PORTLAND, ME 04101-3809
(207) 841-9418
(207) 798-3929

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS827
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017233
ANTHEM BCBS
ME
Enumeration date
02/09/2007
Last updated
07/08/2007
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