Individual
DR. ELIZABETH BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
10 JOHN DR, NORTH GRAFTON, MA 01536-1156
(541) 221-5107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.00015377
CO
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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