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PHILIP SARGENT PIERCE PHD
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1538264809
Individual Registrant: PHILIP SARGENT PIERCE PHD
Gender: M
Not Sole Proprietor
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
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: --
Tel: 207-781-3769 Fax: --
Registration Information:
NPI: 1538264809
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | ME | PS173 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
