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Organization

MICHAEL N. RASKIN PA

Active
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Organization

MICHAEL N. RASKIN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL NEIL RASKIN PH.D, (OWNER)
(207) 353-7254
Entity
Organization

Contact information

Practice address
8 MAIN ST, LISBON FALLS, ME 04252-1505
(207) 353-7254
(207) 353-7258
Mailing address
8 MAIN ST, LISBON FALLS, ME 04252-1505
(207) 353-7254
(207) 353-7258

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 345
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134320000
ME
Enumeration date
04/30/2013
Last updated
04/30/2013
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