Doctor Name: | DR. KIM ROSAN TOUSIGNANT |
NPI Number: | 1992870976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., |
License Number: | PS1257 |
Business Practice Address: | 151 Main Street Suite 2 Bucksport, ME - 04416 |
Business Phone Number: | 2074607974 |
Business Fax Number: | 2074691932 |
Mailing Address: | Po Box 1694, BUCKSPORT |
State: | ME |
Postal Code: | 044161694 |
Phone Number: | 2074607974 |
Fax Number: | 2074691932 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS1257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |