Doctor Name: | DR. BARBARA G LANDON |
NPI Number: | 1891723177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | PS1178 |
Business Practice Address: | 12 Waterboro Rd Alfred, ME - 040023243 |
Business Phone Number: | 2074509279 |
Business Fax Number: | 2073241050 |
Mailing Address: | Po Box 857, ALFRED |
State: | ME |
Postal Code: | 040020857 |
Phone Number: | 2074508279 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS1178 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |