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Individual

HAROLD LONGENECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
(207) 333-3501
Mailing address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
(207) 333-3501

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1124
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431875799
ME
Enumeration date
04/28/2009
Last updated
10/27/2009
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