Individual provider · Type 1 NPI
Maxeen Wyatt, MT
Specialist · South Portland, ME
NPI number
1336308188
Active
Practice location
380 Western Ave
South Portland, ME 04106-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT3231 (ME) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
Other specialist providers in South Portland
About NPI 1336308188
Maxeen Wyatt, MT's National Provider Identifier is 1336308188, issued on Jun 6, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Portland, ME. The record was last updated on Jun 6, 2008.