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Individual

BARBARA E. PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD

Contact information

Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS478
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220890099
ME
Enumeration date
06/06/2008
Last updated
01/23/2015
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