Individual
BOBBY MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
(603) 883-0005
(603) 883-0007
Mailing address
168 WALDOBORO RD, JEFFERSON, ME 04348-3922
(207) 242-5726
(207) 512-1028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CNP111091
ME
103TC0700X
Clinical Psychologist
RN52044
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP111091
ME
Other
Enumeration date
10/31/2011
Last updated
11/12/2020
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