Psychodiagnostic Services Of Southern Maine | |
491 Stevens Ave Portland ME 04103-2636 | |
(207) 828-4026 | |
Not Available |
Full Name | Psychodiagnostic Services Of Southern Maine |
---|---|
Speciality | Psychologist - Clinical |
Location | 491 Stevens Ave, Portland, Maine |
Authorized Official Name and Position | Gregory Carbone (CHIEF OFFICER) |
Authorized Official Contact | 2078284026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychodiagnostic Services Of Southern Maine 491 Stevens Ave Portland ME 04103-2636 Ph: () - | Psychodiagnostic Services Of Southern Maine 491 Stevens Ave Portland ME 04103-2636 Ph: (207) 828-4026 |
NPI Number | 1619136983 |
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Provider Enumeration Date | 06/03/2008 |
Last Update Date | 06/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619136983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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