Provider Demographics
NPI:1760682918
Name:MCLINN, DEBORAH KATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:KATHERINE
Last Name:MCLINN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WASHINGTON AVE
Mailing Address - Street 2:2
Mailing Address - City:GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-2026
Mailing Address - Country:US
Mailing Address - Phone:207-582-0025
Mailing Address - Fax:
Practice Address - Street 1:30 WASHINGTON AVE
Practice Address - Street 2:2
Practice Address - City:GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-2026
Practice Address - Country:US
Practice Address - Phone:207-582-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME459103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist