Individual
DR. ROBERT CLARK VILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
240 MAINE ST, BRUNSWICK, ME 04011-3365
(207) 725-4700
(207) 725-4765
Mailing address
240 MAINE ST, BRUNSWICK, ME 04011-3365
(207) 725-4700
(207) 725-4765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
874
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026544
ANTHEM BCBS PIN
ME
01
—
2211595
CIGNA PIN
ME
Enumeration date
03/31/2007
Last updated
07/08/2007
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