Individual
DR. MARYANNE NMN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
304 HANCOCK STREET, SUITE 2D, BANGOR, ME 04401
(207) 561-3651
(207) 945-3175
Mailing address
2 HARBOR VIEW LANE, BELFAST, ME 04915
(207) 338-0015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS865
ME
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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