Individual
DR. PETER FLAVIN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6 D ST, SOUTH PORTLAND, ME 04106-2820
(207) 767-7001
(207) 767-7002
Mailing address
6 D ST, SOUTH PORTLAND, ME 04106-2820
(207) 767-7001
(207) 767-7002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
427
RI
103TC0700X
Clinical Psychologist
4851
MA
103TC0700X
Clinical Psychologist
Primary
803
ME
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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