Peddicord, Robert Stephen

Peddicord, Robert Stephen is an sole proprietor health care provider with primary practice located at 45 Packard Dr , Bangor ME 04401-2524. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peddicord, Robert Stephen can be contacted via phone (207) 947-7701.

Contact Information

Primary practice address
45 Packard Dr Bangor ME 04401-2524
Phone: (207) 947-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS404 Maine

Profile Details

NPI number 1588715999
LBN Legal business name Peddicord, Robert Stephen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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