Individual
DR. ROBERT STEPHEN PEDDICORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
45 PACKARD DR, BANGOR, ME 04401-2524
(207) 947-7701
Mailing address
45 PACKARD DR, BANGOR, ME 04401-2524
(207) 947-7791
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS404
ME
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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