Individual
DEBORAH W LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75 STATE ST, ELLSWORTH, ME 04605-1947
(207) 460-5879
(207) 288-8111
Mailing address
525 NORWAY DR, BAR HARBOR, ME 04609-7757
(207) 288-8111
(207) 288-8111
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS1093
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431585999
—
ME
01
—
PS1093
ME LICENSE
ME
Enumeration date
05/18/2006
Last updated
06/02/2010
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