Organization
GARY RASMUSSEN, PH.D. CLINICAL PSYCHOLOGIST PA
Active
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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