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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