Rare Gem Psychiatry, Pllc | |
110 Main St Ste 1508 Saco ME 04072-3517 | |
(207) 420-2390 | |
Not Available |
Full Name | Rare Gem Psychiatry, Pllc |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 110 Main St Ste 1508, Saco, Maine |
Authorized Official Name and Position | Katherine Mills (OWNER) |
Authorized Official Contact | 2074202390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rare Gem Psychiatry, Pllc 14 Wingate Dr Portland ME 04102-1830 Ph: (207) 612-1104 | Rare Gem Psychiatry, Pllc 110 Main St Ste 1508 Saco ME 04072-3517 Ph: (207) 420-2390 |
NPI Number | 1366055519 |
---|---|
Provider Enumeration Date | 08/27/2020 |
Last Update Date | 09/14/2020 |
Certification Date | 09/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366055519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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