Individual
DR. KIM ROSAN TOUSIGNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.,
Contact information
Practice address
151 MAIN STREET, SUITE 2, BUCKSPORT, ME 04416
(207) 460-7974
(207) 469-1932
Mailing address
PO BOX 1694, BUCKSPORT, ME 04416-1694
(207) 460-7974
(207) 469-1932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1257
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003401401
MEDICARE PTAN
ME
01
—
047415
ANTHEM
ME
05
—
283850000
—
ME
01
—
7118205
AETNA
ME
Enumeration date
11/22/2006
Last updated
11/19/2014
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