Individual
REBECCA GLEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 UNION ST, ROCKPORT, ME 04856-6104
(207) 594-2952
Mailing address
220 UNION ST, ROCKPORT, ME 04856-6104
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS1434
ME
103T00000X
Psychologist
PS1434
ME
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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