| Robert Peddicord Phd Group | |
|
200 Grove St Bangor ME 04401-4008 | |
| (207) 944-9315 | |
| Not Available |
| Full Name | Robert Peddicord Phd Group |
|---|---|
| Speciality | Psychologist |
| Location | 200 Grove St, Bangor, Maine |
| Authorized Official Name and Position | Robert S. Peddicord (OWNER) |
| Authorized Official Contact | 2079449315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Peddicord Phd Group 200 Grove St Bangor ME 04401-4008 Ph: () - | Robert Peddicord Phd Group 200 Grove St Bangor ME 04401-4008 Ph: (207) 944-9315 |
| NPI Number | 1003319583 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 03/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003319583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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