Individual
JAMES COGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
443 MAIN ST, LEWISTON, ME 04240-6733
(207) 576-6423
(207) 783-1880
Mailing address
2 CLAIRE ST, LEWISTON, ME 04240-4602
(207) 576-6423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS280
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-0397299
COMMERCIAL INSURANCES
—
01
—
026268
BC/BC
—
05
—
229770000
—
ME
Enumeration date
06/02/2006
Last updated
12/10/2015
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