NPI 1073697926

Diane S Moongrove, PHD

Practitioner Psychologist Waterville, ME

Practice location

Address: 8 Highwood St, Waterville, ME 04901-5740
Phone: (207) 861-3488
Fax: (207) 861-3470

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PS916 (ME)

Other Psychologist providers in Maine →

Registry record

NPI: 1073697926
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 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.