Individual
JAMES H ROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
225 COMMERCIAL ST, SUITE 401, PORTLAND, ME 04101-4613
(207) 771-2001
(207) 771-2001
Mailing address
225 COMMERCIAL ST, SUITE 401, PORTLAND, ME 04101-4613
(207) 771-2001
(207) 771-2001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1087
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047373
ANTHEM
ME
01
—
115243
MARTINS POINT
ME
01
—
7096738
AETNA
ME
Enumeration date
04/03/2007
Last updated
10/13/2015
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