NPI 1184699910

Gordon Powell Street, PHD

Practitioner Clinical Psychologist Lincoln, ME

Practice location

Address: 175 West Broadway, Lincoln, ME 04457
Phone: (207) 794-6700
Fax: (207) 794-0059

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS1177 (ME)

Other Psychologist providers in Maine →

Registry record

NPI: 1184699910
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 30 Mar 2023

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.