Provider Demographics
NPI:1093041782
Name:KERR, BRUCE BRITTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:BRITTON
Last Name:KERR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 805
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-0805
Mailing Address - Country:US
Mailing Address - Phone:207-967-4404
Mailing Address - Fax:
Practice Address - Street 1:153 PORT RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-7780
Practice Address - Country:US
Practice Address - Phone:207-967-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME00509103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical