Individual
ALFONSO ORTEGA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4340
Mailing address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1383
ME
Other
Enumeration date
12/09/2006
Last updated
06/07/2013
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