Individual
MICHAEL A NURICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4303
(207) 872-4294
Mailing address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4303
(207) 872-4294
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS853
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154420000
—
ME
Enumeration date
06/12/2006
Last updated
08/02/2010
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