Graduated: 2004
NPI: 1649307406
Practice Locations (3)
MAINEHEALTH
2 LIVEWELL DR
KENNEBUNK, ME 040436762
2074678988
MAINEHEALTH
1601 CONGRESS ST, SUITE 1
PORTLAND, ME 041022102
2076610100
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.