Organization
TOBY A. ANSFIELD, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBY A. ANSFIELD PH.D. (PRESIDENT)
(207) 756-8866
Entity
Organization
Contact information
Practice address
145 NEWBURY ST, SUITE 2, PORTLAND, ME 04101-4261
(207) 756-8866
Mailing address
57 HIGH ST, YARMOUTH, ME 04096-6759
(207) 756-8866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS1020
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346400000
—
ME
Enumeration date
05/09/2009
Last updated
02/20/2012
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