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Dr. Gordon Powell Street, PHD
Clinical Psychologist in Lincoln, Maine
NPI 1184699910

Gordon Powell Street is a Clinical Psychologist based in Lincoln, ME and is specialized in Clinical. Gordon Powell Street practices in Lincoln, ME and has the professional credentials of PHD. The NPI Number for Gordon Powell Street is 1184699910 and holds a License No. PS1177 (Maine).

The current practice location address for Gordon Powell Street is 175 West Broadway, Lincoln, ME and can be reached out via phone at 207-794-6700 and via fax at 207-794-0059.

Location: 175 West Broadway, Lincoln, ME, 04457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184699910
Provider Name
Gordon Powell Street
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
175 West Broadway, Lincoln, ME, 04457
Phone Number
207-794-6700
Fax Number
207-794-0059
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061698 05 ME
061698 01 ME ANTHEM BC/BS OF ME PIN
institution
Provider Business Practice Location Address Details
Address
175 West Broadway
City
Lincoln
State
Maine
Zip
04457
Phone Number
207-794-6700
Fax Number
207-794-0059
person
Provider Business Mailing Address Details
Address
175 West Broadway
City
Lincoln
State
Maine
Zip
04457
Phone Number
207-794-6700
Fax Number
207-794-0059
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PS1177 (Maine)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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