Dr. Adam Golonka, PsyD, BCBA-D
Psychologist in Westbrook, ME. Individual provider (NPI-1).
NPI number1629616396
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1629616396
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Golonka
- Credential
- PsyD, BCBA-D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PS1522 | ME | Yes |
| 103K00000X | Behavior Analyst | 1-12-12645 | – |
Practice location
123 Andover RdWestbrook, ME 04092-3848
Phone 207-661-6219
Mailing address
123 Andover RdWestbrook, ME 04092-3848
Phone 207-661-6219
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