Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE C MAGNUSON, PSY.D.
Active Sole ProprietorELISE C MAGNUSON, PSY.D. is a Psychologist healthcare provider located in PORTLAND, Maine. NPI 1245361468 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PORTLAND, ME
Registration Details
- NPI Number
- 1245361468
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2007 (19.414062179693 yrs)
- Last Updated
- Sep 24, 2019
- Licenses
-
LC11425 (ME)PS 1242 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
251 WOODFORD STPORTLAND, ME, 041035617Browse ME providers · Browse ZIP 04103
- Phone
- 2076326965
- Fax
- 2077618150
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DR. JUDSON D. SMITH | ED.D. | 1518937242 |
| MS. SUSAN ESTHER PARR | LCPC | 1861454787 |
| MS. AMELIA ANN HASSLER | PSYD | 1851332613 |
| JAMES L WEAVER | — | 1447293741 |
| RONALD L BREAZEALE | PH.D | 1780627026 |
| RICHARD G DOIRON | PH.D., ABPP | 1386652634 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.