John Matthew O'Brien in Portland - Clinical
John Matthew O'Brien - NPI 1720083504
John Matthew O'Brien is a Clinical in Portland, Maine. John Matthew O'Brien practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Matthew O'Brien is 1720083504. The last update date is 2007-07-08.
John Matthew O'Brien's current location address is 465 Congress St, Portland, Maine. You can contact this provider via phone number 2077732828 and fax number 2077618150. The mailing address for John Matthew O'Brien is 465 Congress St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Matthew O'Brien |
|---|---|
| Address | 465 Congress St, Portland, Maine |
| Phone Number | 2077732828 |
| Fax Number | 2077618150 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720083504 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 465 Congress St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 410135390 |
| Phone Number | 2077732828 |
| Fax Number | 2077618150 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS932 |
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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 John Matthew O'Brien's unique identification number?
The John Matthew O'Brien has been assigned the NPI (National Provider Identifier) Number 1720083504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John Matthew O'Brien's physical address?
The John Matthew O'Brien is physically located at 465 Congress St, in the city of Portland, ME, with the postal code 410135390.
What is John Matthew O'Brien's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Matthew O'Brien's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720083504 to John Matthew O'Brien?
The Centers for Medicare & Medicaid Services originally issued the 1720083504 to John Matthew O'Brien on 2005-06-17.
When was the information pertaining to John Matthew O'Brien most recently updated or revised?
The details related to John Matthew O'Brien, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.