Individual
KRISTEN ANNE WOODBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-2221
(207) 662-6348
Mailing address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-2221
(207) 662-6348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1540
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000P08174
BCBSMA PROVIDER LEGACY
MA
Enumeration date
03/18/2008
Last updated
04/01/2025
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