Individual
DR. DEBORAH JEAN DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
20 MECHANIC ST, GORHAM, ME 04038-1560
(207) 839-2450
(207) 839-6469
Mailing address
20 MECHANIC ST, GORHAM, ME 04038-1560
(207) 839-2450
(207) 839-6469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
670
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025624
ANTHEM PROVIDER NUMBER
ME
05
—
251920000
—
ME
Enumeration date
02/08/2006
Last updated
03/12/2013
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