Individual
DR. CATHLEEN J SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Mailing address
1577 CONGRESS ST, 2ND FLOOR, PORTLAND, ME 04102-2169
(207) 662-5522
(207) 774-1814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-05-2441
—
103T00000X
Psychologist
04783
MD
103T00000X
Psychologist
Primary
PS1380
ME
Other
Enumeration date
06/19/2007
Last updated
07/12/2013
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