Organization
BEATA A WIKTOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATA A WIKTOR PSYD (PRESIDENT)
(207) 200-5925
Entity
Organization
Contact information
Practice address
6 MAIN ST, SUITE 1, GRAY, ME 04039-9502
(207) 657-8311
Mailing address
PO BOX 1614, WINDHAM, ME 04062-1614
(207) 200-5925
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1417
ME
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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