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Contact Information

KATHLEEN F NYBORG, PhD
210 MAIN ST
ELLSWORTH, ME04605
 Phone: 207-667-3795
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATHLEEN F NYBORG · (Female)

NPI Number 1659413680
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/13/2007
Last updated 03/11/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PS585
  • ME Medicaid 223660000
  • ME Other X0298 ANTHEM BC BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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