Individual
ANDREW F WISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
120 TILLSON AVE, SUITE 201, ROCKLAND, ME 04841-3451
(207) 594-2900
Mailing address
PO BOX 1104, ROCKLAND, ME 04841-1104
(207) 594-2900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS963
ME
103TC1900X
Counseling Psychologist
PS963
ME
103TF0200X
Forensic Psychologist
PS963
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047605
ANTHEM BCBS
ME
Enumeration date
08/05/2006
Last updated
09/11/2025
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