Toby A Ansfield, PHD

Individual provider Active NPI Clinical Psychologist · Portland, ME

NPI 1003977018 · NPPES record last updated Feb 20, 2012

Key facts

NPI
1003977018
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS1020 (ME)
Practice address
145 Newbury St
Ste 2
Portland, ME 04101-4261
Phone
(207) 756-8866
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS1020 ME Yes

Addresses

Primary practice location

145 Newbury St
Ste 2
Portland, ME 04101-4261

Mailing address

57 High St
Yarmouth, ME 04096-6759
Phone (207) 756-8866

Other identifiers

IdentifierTypeStateIssuer
1346400000MedicaidME

Other providers in Portland, ME

All providers in Portland, ME · Clinical Psychologist in Maine

Sources for this page

Verify at the official NPI Registry.