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Individual

DR. E. MERLE BRAGDON

Active
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Individual

DR. E. MERLE BRAGDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS742
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170033
ANTHEM BCBS
ME
01
373948
VALUE OPTIONS
ME
01
E007054
CHAMPUS
ME
Enumeration date
06/01/2007
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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