Whalio Doctors

NPI 1023032869

Kenneth A. Beattie, PHD

Practitioner Clinical Psychologist Ellsworth, ME

Practice location

Address
64 Church St, Ellsworth, ME 04605-1658
Phone
(207) 669-6011
Fax
(207) 669-6011
Mailing address
94 Mill St, Orono, ME 04473-4040

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS1018 (ME)

Registry record

NPI
1023032869
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jul 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.