Diane S Moongrove, PHD
NPI #1073697926 in Waterville, Maine
Provider Information
- NPI Number
- 1073697926
- Entity Type
- Individual
- Name
- Diane S Moongrove, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8 HIGHWOOD ST
- City
- Waterville
- State
- Maine
- ZIP Code
- 04901-5740
- Phone
- (207) 861-3488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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