Individual
C. LEE GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, NCSP
Contact information
Practice address
20 GRANITE WAY STE A, ROCKPORT, ME 04856-5747
(207) 230-7059
(207) 230-7059
Mailing address
20 GRANITE WAY STE A, ROCKPORT, ME 04856-5747
(207) 230-7059
(207) 230-7059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1290
ME
103TS0200X
School Psychologist
PS1290
ME
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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