Most Relevant Information
Provider Data
| NPI Number: | 1003037391 |
| Provider Name: | LOIS A GROCKI PSY D |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PS714 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
123 ANDOVER RD
WESTBROOK
ME
040923848
Practice Location Phone/Fax
| Phone: | 2077612200 |
| Fax: | 2078427773 |
Provider Mailing Location
123 ANDOVER RD
WESTBROOK
ME
040923848
Provider Mailing Phone/Fax
| Phone: | 2077612200 |
| Fax: | 2078427773 |