Individual
DR. MARY JANE CALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4212
(207) 773-3275
Mailing address
25 MIDDLE ST, PORTLAND, ME 04101-4212
(207) 773-3275
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS1039
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208740000
—
ME
Enumeration date
10/29/2006
Last updated
07/08/2007
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