Jeff Thomal Tidd in Portland - Mental Health
Jeff Thomal Tidd - NPI 1689793226
Jeff Thomal Tidd is a Mental Health in Portland, Maine. Jeff Thomal Tidd practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeff Thomal Tidd is 1689793226. The last update date is 2011-11-16.
Jeff Thomal Tidd's current location address is 304 Summit St, Portland, Maine. You can contact this provider via phone number 2073218828. The mailing address for Jeff Thomal Tidd is 304 Summit St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff Thomal Tidd |
|---|---|
| Address | 304 Summit St, Portland, Maine |
| Phone Number | 2073218828 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1689793226 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | 304 Summit St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032239 |
| Phone Number | 2073218828 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | CC1912 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Jeff Thomal Tidd's unique identification number?
The Jeff Thomal Tidd has been assigned the NPI (National Provider Identifier) Number 1689793226 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jeff Thomal Tidd is physically located?
The Jeff Thomal Tidd is situated at the following address: 304 Summit St, Portland, ME 41032239.
What is Jeff Thomal Tidd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeff Thomal Tidd is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
When was the Jeff Thomal Tidd's 1689793226 issued?
The Jeff Thomal Tidd's 1689793226 was issued on 2007-03-28.
When was the information regarding Jeff Thomal Tidd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeff Thomal Tidd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-16.