Individual
DR. ROBERT WAYNE SIVISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
77 BABBIDGE RD, FALMOUTH, ME 04105-2404
(207) 797-0877
Mailing address
77 BABBIDGE RD, FALMOUTH, ME 04105-2404
(207) 797-0877
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS587
ME
103TB0200X
Cognitive & Behavioral Psychologist
PS587
ME
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS587
ME
103TS0200X
School Psychologist
PS587
ME
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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