Individual
DR. ADAM GOLONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, BCBA-D
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6219
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-12645
—
103T00000X
Psychologist
Primary
PS1522
ME
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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