| Organization Name: | WASHINGTON COUNTY PSYCHOTHERAPY ASSOCIATES, PA |
| NPI Number: | 1295865921 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN EDWARDS (CEO) |
| Mailing Address: | 127 Palmer St Calais |
| State: | ME US |
| Postal Code: | 046191300 |
| Phone Number: | 2074540775 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |