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Individual

DR. DOUGLAS STUART FAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
618 MAIN ST, NEUROPSYCH TESTING CTR, GOODWILL NEUROREHAB CENTER, LEWISTON, ME 04240-5935
(207) 513-5115
(207) 513-5116
Mailing address
12 OLD FARM HL, UNIT 1, AUBURN, ME 04210-4396
(985) 778-9834

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
640
LA
103T00000X
Psychologist
640
LA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
640
LA
103TC0700X
Clinical Psychologist
640
LA
103TR0400X
Rehabilitation Psychologist
640
LA

Other

Enumeration date
03/02/2007
Last updated
09/12/2013
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