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NPI 1891723177

NPI 1891723177 : BARBARA G LANDON PSY.D : ALFRED, ME

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General NPI Number Information
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    NPI Number           |    1891723177
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA G LANDON PSY.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/28/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    12 WATERBORO RD 
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    City                 |    ALFRED
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    State                |    ME
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    Zip                  |    04002-3243
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    Country              |    US
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    Telephone            |    207-450-9279
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    Fax                  |    207-324-1050
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Provider Business Mailing Address
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    Address Line         |    PO BOX 857 
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    City                 |    ALFRED
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    State                |    ME
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    Zip                  |    04002-0857
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    Country              |    US
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    Telephone            |    207-450-8279
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    PS1178
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PS1178
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    License Number State |    ME
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