| Doctor Name: | PETER L BURGHER |
| NPI Number: | 1003034570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | PS482 |
| Business Practice Address: | 2 Elm St Waterville, ME - 049015905 |
| Business Phone Number: | 2078732231 |
| Business Fax Number: | 2078729578 |
| Mailing Address: | 2 Elm St, WATERVILLE |
| State: | ME |
| Postal Code: | 049015905 |
| Phone Number: | 2078732231 |
| Fax Number: | 2078729578 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |