East Coast Wellness LLC
NPI #1447727466 in Cape Elizabeth, Maine
Provider Information
- NPI Number
- 1447727466
- Entity Type
- Organization
- Organization Name
- East Coast Wellness LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 29, 2018
- Last Updated
- Sep 13, 2021
Practice Location
- Address
- 553 SHORE RD STE 2
- City
- Cape Elizabeth
- State
- Maine
- ZIP Code
- 04107-1010
- Phone
- (207) 400-5876
Authorized Official
- Name
- DR. LOREN BUSH, PSYD
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (207) 400-5092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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