Individual
MARY ELIZABETH CUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 COLUMBIA ST, SUITE 302, BANGOR, ME 04401-6355
(207) 990-2115
Mailing address
15 COLUMBIA ST, SUITE 302, BANGOR, ME 04401-6355
(207) 990-2115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS789
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038037
ANTHEM INSURANCE
ME
Enumeration date
09/29/2006
Last updated
07/08/2007
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