Organization
GARY RASMUSSEN, PH.D. CLINICAL PSYCHOLOGIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY G. RASMUSSEN PH.D. (PRESIDENT)
(207) 872-5003
Entity
Organization
Contact information
Practice address
179 MAIN ST STE 208, WATERVILLE, ME 04901-6672
(207) 872-5003
(207) 872-9445
Mailing address
3 THOMAS DR, WATERVILLE, ME 04901-4407
(207) 872-5003
(207) 872-9445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
491
ME
Other
Enumeration date
01/15/2007
Last updated
03/17/2008
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