Individual
DR. STEVEN WILDER LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
25 PLEASANT VIEW DR, GRAY, ME 04039-9572
(207) 428-3055
(207) 428-3069
Mailing address
PO BOX 1140, 25 PLEASANT VIEW DRIVE, GRAY, ME 04039-1140
(207) 428-3055
(207) 428-3069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS 743
ME
103TA0700X
Adult Development & Aging Psychologist
PS 743
ME
103TC0700X
Clinical Psychologist
Primary
PS 743
ME
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS 743
ME
103TP2701X
Group Psychotherapy Psychologist
PS 743
ME
103TR0400X
Rehabilitation Psychologist
PS 743
ME
Other
Enumeration date
04/19/2007
Last updated
06/13/2012
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