Individual
DR. JONATHAN KEITH HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7556
(207) 973-7674
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416-4612
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
ME 726
ME
Other
Enumeration date
07/04/2006
Last updated
11/06/2018
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