NPI 1053494450

Gabrielle Broche, LCPC

Practitioner Psychologist Portland, ME

Practice location

Address: 30 Pitt Street, Portland, ME 04103-4886
Phone: (207) 828-1023

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence CC1068 (ME)

Other Psychologist providers in Maine →

Registry record

NPI: 1053494450
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 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.