IndividualActive
Annie Derthick, PHD
NPI 1689039422 · Family Psychologist · Lewiston, ME
Provider details
- NPI number
- 1689039422
- Entity type
- Individual
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 107779 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
76 High St
Lewiston, ME 04240
Phone: (207) 795-2800
Approximate (ZIP-level) locationGet directions
Mailing address
76 High St
Lewiston, ME 04240-7649
Additional practice locations (1)
- 1201 E 36th AveAnchorage, AK 99508-4372Phone: (907) 562-9229Fax: (907) 561-4806
Registry dates
- Enumerated
- 2015-12-21
- Last updated
- 2018-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.