Whalio Doctors

NPI 1043320823

Gail Goza-Macmullan, PHD

Practitioner Counseling Psychologist Portland, ME

Practice location

Address
73 Washington Ave, Portland, ME 04101-2617
Phone
(207) 771-3553
Fax
(781) 687-3470
Mailing address
110 Christopher Rd, North Yarmouth, ME 04097-6733

Registered specialties

Counseling Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence PS928 (ME)

Registry record

NPI
1043320823
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2006
Record last updated
8 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.