Tideside Clinical & Psychological Services in Orono - Clinical
Tideside Clinical & Psychological Services - NPI 1275645939
Tideside Clinical & Psychological Services is a Clinical in Orono, Maine. Tideside Clinical & Psychological Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tideside Clinical & Psychological Services is 1275645939. The last update date is 2020-08-22.
Tideside Clinical & Psychological Services's current location address is 94 Mill St, Orono, Maine. You can contact this provider via phone number 2078662636 and fax number 2076696011. The mailing address for Tideside Clinical & Psychological Services is 94 Mill St, Orono, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tideside Clinical & Psychological Services |
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Address | 94 Mill St, Orono, Maine |
Phone Number | 2078662636 |
Fax Number | 2076696011 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SOLE OWNER |
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Authorized Official Name | Beattie A. Kenneth |
Credentials | PH.D. |
Telephone Number | 2076696011 |
NPI Number Detail
NPI Number | 1275645939 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 94 Mill St |
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City | Orono |
State | Maine (ME) |
Post Code | 44734040 |
Phone Number | 2078662636 |
Fax Number | 2076696011 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PS1018 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Tideside Clinical & Psychological Services by the Centers for Medicare & Medicaid Services?
The Tideside Clinical & Psychological Services has been assigned the NPI (National Provider Identifier) 1275645939 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tideside Clinical & Psychological Services's facilities are geographically located?
The facilities of Tideside Clinical & Psychological Services are physically situated at the following location: 94 Mill St, Orono, ME, 44734040.
What is the area of specialization for Tideside Clinical & Psychological Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tideside Clinical & Psychological Services is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275645939 to Tideside Clinical & Psychological Services?
The Tideside Clinical & Psychological Services received its 1275645939 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information pertaining to Tideside Clinical & Psychological Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tideside Clinical & Psychological Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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