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Individual

DR. JEFF MATRANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., ABPP

Contact information

Practice address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4100
Mailing address
2 BIG SKY LN, WATERVILLE, ME 04901-4340
(207) 872-4100

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PS679
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231910099
ME
Enumeration date
08/01/2006
Last updated
03/22/2016
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