Individual
LINDA KEIL WAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6 STATE ST, SUITE 603, BANGOR, ME 04401-5112
(207) 942-8085
(207) 942-5788
Mailing address
6 STATE ST, SUITE 603, BANGOR, ME 04401-5112
(207) 942-8085
(207) 942-5788
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00519
ME
Other
Enumeration date
09/30/2007
Last updated
10/03/2007
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