Individual
LUCY GARDNER QUIMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
43 COLUMBIA ST, SUITE 32, BANGOR, ME 04401-6346
(207) 945-3675
Mailing address
43 COLUMBIA ST, SUITE 32, BANGOR, ME 04401-6346
(207) 945-3675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS750
ME
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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