Doctor Name: | THOMAS JOSEPH GAFFNEY |
NPI Number: | 1184721003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY D |
License Number: | PS427 |
Business Practice Address: | 103 Us Route 1 Bucksport, ME - 04416 |
Business Phone Number: | 2074692255 |
Business Fax Number: | 2074692299 |
Mailing Address: | Po Box 20, STOCKTON SPRINGS |
State: | ME |
Postal Code: | 04981 |
Phone Number: | 2074692255 |
Fax Number: | 2074692299 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |