Organization
EVENTUS MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M BARTER PH.D. (OWNER)
(207) 782-7720
Entity
Organization
Contact information
Practice address
1180 LISBON ST, LEWISTON, ME 04240-5059
(207) 782-7720
(207) 333-3232
Mailing address
68 PLEASANT ST, BRUNSWICK, ME 04011-2203
(207) 782-7720
(207) 333-3232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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