Individual
SARAH COURTNEY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
37 ANDOVER ROAD, PORTLAND, ME 04102
(207) 661-3600
Mailing address
37 ANDOVER ROAD, PORTLAND, ME 04102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10902
NE
103TC0700X
Clinical Psychologist
0810005871
VA
103TC0700X
Clinical Psychologist
Primary
PS2233
ME
Other
Enumeration date
06/22/2016
Last updated
09/01/2021
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