Individual
DR. PIA MICHELLE STANARD MARANCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
31 SPURWINK DR, CHELSEA, ME 04330-1166
(207) 582-7686
Mailing address
899 RIVERSIDE STREET, PORTLAND, ME 04103
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
XL3856
ME
103T00000X
Psychologist
04887
MD
103T00000X
Psychologist
Primary
PS1389
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2009
Last updated
10/14/2013
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