Loren Bush, PSY.D. Valid NPI
Individual provider · Clinical Psychologist · Portland, ME
- NPI
- 1437539210
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 1450 (ME)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-06-05
- Last updated
- 2015-06-05
Practice location
205 Ocean Ave
Portland, ME 04103-5712
(207) 773-7993