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NPI Code Detail

MEDICARE: DR. ANN L MCGARVEY PH.D.

MEDICARE: DR. ANN L MCGARVEY 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
1103TC2200XClinical Child & Adolescent PsychologistPE1078ME

General Provider Information

NPI Number : 1992911549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN L MCGARVEY PH.D.
Provider Business Mailing Address
First Line : 778 MAIN ST
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-5447
Country : US
Telephone Number : 207-879-6160
Fax Number :
Provider Business Practice Location Address
First Line : 17 BISHOP ST FL 2
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2659
Country : US
Telephone Number : 207-871-1235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 12/15/2025

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