Individual
DR. ANN M CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
205 OCEAN AVE, PORTLAND, ME 04103-5712
(207) 773-7993
Mailing address
205 OCEAN AVE, PORTLAND, ME 04103-5712
(207) 773-7993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1197
ME
103TC0700X
Clinical Psychologist
PSY002054
GA
103TC0700X
Clinical Psychologist
PY 5523
FL
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000741584A
—
GA
01
—
10751280
CAQH
ME
01
—
200300
ANTHEM BC/BS
ME
05
—
432779400
—
ME
01
—
461740
VALUE OPTIONS
GA
01
—
582452807
FEDERAL TAX ID
GA
Enumeration date
04/12/2007
Last updated
07/21/2022
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