Maine Geropsychology, Llc | |
14 Maine St Suite 111-c Brunswick ME 04011-2049 | |
(207) 721-8143 | |
(207) 721-8143 |
Full Name | Maine Geropsychology, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 14 Maine St, Brunswick, Maine |
Authorized Official Name and Position | Martin Morthland (OWNER) |
Authorized Official Contact | 2077218143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maine Geropsychology, Llc 14 Maine St Suite 111-c Brunswick ME 04011-2049 Ph: (207) 721-8143 | Maine Geropsychology, Llc 14 Maine St Suite 111-c Brunswick ME 04011-2049 Ph: (207) 721-8143 |
NPI Number | 1144692880 |
---|---|
Provider Enumeration Date | 10/21/2015 |
Last Update Date | 11/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144692880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | PS1413 (Maine) | Primary |
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