Organization
E. MERLE BRAGDON, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E MERLE BRAGDON PHD (OWNER)
(207) 772-1570
Entity
Organization
Contact information
Practice address
178 MIDDLE ST, SUITE 300, PORTLAND, ME 04101-4075
(207) 772-1570
(207) 772-2670
Mailing address
178 MIDDLE ST, SUITE 300, PORTLAND, ME 04101-4075
(207) 772-1570
(207) 772-2670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS1124
ME
103TC0700X
Clinical Psychologist
Primary
PS742
ME
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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