| Organization Name: | HAMPDEN PSYCHOLOGICAL CONSULTATION, PLLC |
| NPI Number: | 1770718876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA L. PRESCOTT (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 108 B Main Road South Hampden Psychological Consultation, Pllc Hampden |
| State: | ME US |
| Postal Code: | 04444 |
| Phone Number: | 2078623370 |
| Fax Number: | 2078623350 |
| NPI Enumeration Date: | 05/19/2009 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |