Individual
SARAH USTINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BAKER ST, RICHMOND, ME 04357-1387
(207) 358-0505
(888) 972-3885
Mailing address
PO BOX 39, SOUTH GARDINER, ME 04359-0039
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1393
ME
103TF0200X
Forensic Psychologist
Primary
1393
ME
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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