Individual
JAMES M MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
110 TANDBERG TRL, WINDHAM, ME 04062-5206
(207) 892-7999
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS382
ME
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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