Individual
DR. LOUISE A. ZUBROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D. MAINE PSYCHOLO
Contact information
Practice address
345 COTTAGE RD, SOUTH PORTLAND, ME 04106
(207) 774-5741
(207) 772-4322
Mailing address
276 PINE ST, SOUTH PORTLAND, ME 04106-3841
(207) 774-5741
(207) 772-4322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
506
ME
103TC0700X
Clinical Psychologist
PS506
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026804
ANTHEM
ME
05
—
117140000
—
ME
05
—
270680099
—
ME
Enumeration date
02/24/2007
Last updated
05/18/2016
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