Individual
DR. MAURA CORCORAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
178 MIDDLE ST, SUITE 300, PORTLAND, ME 04101-4075
(207) 871-0447
(207) 772-2670
Mailing address
178 MIDDLE ST, SUITE 300, PORTLAND, ME 04101-4075
(207) 871-0447
(207) 772-2670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS837
ME
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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