Provider Demographics
NPI:1437168994
Name:PUSEY, PAUL FRANKLIN
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANKLIN
Last Name:PUSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 UNION ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4507
Mailing Address - Country:US
Mailing Address - Phone:207-947-8078
Mailing Address - Fax:207-947-8078
Practice Address - Street 1:451 UNION ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4507
Practice Address - Country:US
Practice Address - Phone:207-947-8078
Practice Address - Fax:207-947-8078
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS 275103TB0200X, 103TC2200X
MEPS275103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist