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Organization

GREGORY W. NEVENS, ED.D PA

Active
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Organization

GREGORY W. NEVENS, ED.D PA

Active
Other names
Health Psychology Center
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY W NEVENS ED.D., (PRESIDENT)
(207) 653-4301
Entity
Organization

Contact information

Practice address
222 AUBURN ST, SUITE 102, PORTLAND, ME 04103-6002
(207) 653-4301
(207) 699-3831
Mailing address
PO BOX 854, ALFRED, ME 04002-0854
(207) 415-1881
(207) 699-3831

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
00617
ME

Other

Enumeration date
09/15/2008
Last updated
12/01/2017
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