Wisch, Andrew F

Wisch, Andrew F is an sole proprietor health care provider with primary practice located at 120 Tillson Ave Suite 201, Rockland ME 04841-3451. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Wisch, Andrew F can be contacted via phone (207) 594-2900.

Contact Information

Primary practice address
120 Tillson Ave Suite 201 Rockland ME 04841-3451
Phone: (207) 594-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS963 Maine
Behavioral Health & Social Service Providers / Forensic 103TF0200X PS963 Maine
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS963 Maine

Profile Details

NPI number 1588673156
LBN Legal business name Wisch, Andrew F
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588673156 NPPES
Maine Other 047605 ANTHEM BCBS

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