Annie Derthick, PHD

NPI #1689039422 in Lewiston, Maine

Provider Information

NPI Number: 1689039422
Entity Type: Individual
Name: Annie Derthick, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Family
Credential: PHD
Enumeration Date: Dec 21, 2015
Last Updated: Sep 13, 2018

Practice Location

Address: 76 HIGH ST
City: Lewiston
State: Maine
ZIP Code: 04240
Phone: (207) 795-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Family — Family	103TF0000X	Primary

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