Portland Cognitive And Behavioral Neurology | |
449 Forest Ave # 214 Portland ME 04101-2029 | |
(207) 222-3021 | |
(207) 536-0334 |
Full Name | Portland Cognitive And Behavioral Neurology |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 449 Forest Ave # 214, Portland, Maine |
Authorized Official Name and Position | Alyson E. Maloy (PRESIDENT) |
Authorized Official Contact | 2072223021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portland Cognitive And Behavioral Neurology 449 Forest Ave # 214 Portland ME 04101-2029 Ph: (207) 222-3021 | Portland Cognitive And Behavioral Neurology 449 Forest Ave # 214 Portland ME 04101-2029 Ph: (207) 222-3021 |
NPI Number | 1851808356 |
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Provider Enumeration Date | 01/05/2018 |
Last Update Date | 08/02/2023 |
Certification Date | 08/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851808356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD19147 (Maine) | Primary |
News Archive
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