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PHILIP SARGENT PIERCE PHD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1538264809

Individual Registrant:
 PHILIP SARGENT PIERCE PHD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
TOGUS VAMC PSYCHOLOGY 116B TOGUS, ME 04330-9929 US
Tel: 207-623-8411  Fax: 207-623-5791

Contact information for business:
79 WAITES LANDING ROAD  FALMOUTH, ME 04105-1939 US
Tel: 207-781-3769  Fax: --

Registration Information:
NPI: 1538264809
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
MEPS173

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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