Individual
SHARON ANN ETZWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
491 STEVENS AVE, PORTLAND, ME 04103-2636
(207) 828-4026
Mailing address
491 STEVENS AVE, PORTLAND, ME 04103-2636
(207) 828-4026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1109
ME
Other
Enumeration date
02/06/2007
Last updated
07/09/2007
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