Organization
ANN M CHRISTIE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CHRISTIE PSYD (PRESIDENT OWNER)
(207) 774-6300
Entity
Organization
Contact information
Practice address
57 EXCHANGE ST, SUITE 403, PORTLAND, ME 04101-5000
(207) 774-6300
(207) 775-4454
Mailing address
57 EXCHANGE ST, SUITE 403, PORTLAND, ME 04101-5000
(207) 774-6300
(207) 775-4454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1197
ME
103TC0700X
Clinical Psychologist
PSY002054
GA
103TC0700X
Clinical Psychologist
PY 5524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000741584A
—
GA
01
—
10751280
CAQH
ME
01
—
200300
ANTHEM BC/BS
ME
05
—
432779400
—
ME
01
—
461740
VALUE OPTIONS
GA
Enumeration date
04/23/2007
Last updated
06/28/2010
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