Individual
DR. PHILIP JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2 SCHOOL ST, WATERVILLE, ME 04901-7518
(207) 873-5988
Mailing address
2 SCHOOL ST, WATERVILLE, ME 04901-7518
(207) 873-5988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS486
ME
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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