DR. Gordon Powell Street, PHD

NPI #1184699910 in Lincoln, Maine

Provider Information

NPI Number
1184699910
Entity Type
Individual
Name
DR. Gordon Powell Street, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Feb 23, 2006
Last Updated
Mar 30, 2023

Practice Location

Address
175 WEST BROADWAY
State
Maine
ZIP Code
04457
Phone
(207) 794-6700

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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