Individual
DR. RAE EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
(770) 826-6503
Mailing address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
024423
NY
103T00000X
Psychologist
Primary
PS2458
ME
Other
Enumeration date
07/21/2021
Last updated
07/05/2022
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