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Individual

DR. CHRISTOPHER C MUNCIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150
Mailing address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1016
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027698
ANTHEM
ME
05
227800000
ME
Enumeration date
04/23/2007
Last updated
01/26/2016
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