Individual
DR. LAUREN DATTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
257 DEERING AVE STE 201, PORTLAND, ME 04103-4858
(207) 220-1194
Mailing address
257 DEERING AVE STE 201, PORTLAND, ME 04103-4858
(207) 220-1194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS2003
ME
103TC0700X
Clinical Psychologist
Primary
PS2003
ME
Other
Enumeration date
10/08/2019
Last updated
10/19/2025
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