Individual
CHARLES SPRAGUE SIMONDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200
(207) 842-7773
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1074
ME
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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