Organization
CENTER FOR COLLABORATIVE PSYCHOTHERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H ROUGH PSYD (CO-PRESIDENT)
(207) 771-2001
Entity
Organization
Contact information
Practice address
80 SIMPSON RD, SACO, ME 04072-9523
(207) 771-2001
(207) 771-2001
Mailing address
80 SIMPSON RD, SACO, ME 04072-9523
(207) 771-2001
(207) 771-2001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1087
ME
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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