MEDICARE: DR. GREGORY CARVER FINCH PH. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS634	ME

General Provider Information

NPI Number	:	1609946961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY CARVER FINCH PH. D.

Provider Business Mailing Address
First Line	:	18 POPLAR RIDGE DR
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-2439
Country	:	US
Telephone Number	:	207-797-8245
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 MAIN ST
Second Line	:
City	:	GORHAM
State	:	ME
Zip	:	04038-1339
Country	:	US
Telephone Number	:	207-839-2862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

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