Individual
DR. MARY T MELQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Mailing address
909 MIDDLE ST, BATH, ME 04530-2450
(207) 615-5871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1034
ME
Other
Enumeration date
03/23/2007
Last updated
05/03/2017
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