Psychodiagnostic Services Of Southern Maine in Portland - Clinical
Psychodiagnostic Services Of Southern Maine - NPI 1619136983
Psychodiagnostic Services Of Southern Maine is a Clinical in Portland, Maine. Psychodiagnostic Services Of Southern Maine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychodiagnostic Services Of Southern Maine is 1619136983. The last update date is 2008-06-03.
Psychodiagnostic Services Of Southern Maine's current location address is 491 Stevens Ave, Portland, Maine. You can contact this provider via phone number 2078284026. The mailing address for Psychodiagnostic Services Of Southern Maine is 491 Stevens Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychodiagnostic Services Of Southern Maine |
|---|---|
| Address | 491 Stevens Ave, Portland, Maine |
| Phone Number | 2078284026 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OFFI |
|---|---|
| Authorized Official Name | Carbone Gregory |
| Telephone Number | 2078284026 |
NPI Number Detail
| NPI Number | 1619136983 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 491 Stevens Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032636 |
| Phone Number | 2078284026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 unique 10-digit identification code assigned to Psychodiagnostic Services Of Southern Maine by the Centers for Medicare & Medicaid Services?
The Psychodiagnostic Services Of Southern Maine has been issued the NPI (National Provider Identifier) 1619136983, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Psychodiagnostic Services Of Southern Maine is physically located?
The Psychodiagnostic Services Of Southern Maine is physically situated at the following address: 491 Stevens Ave, Portland, ME, 41032636.
What is Psychodiagnostic Services Of Southern Maine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Psychodiagnostic Services Of Southern Maine is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Psychodiagnostic Services Of Southern Maine receive its 1619136983 assignment from the Centers for Medicare & Medicaid Services?
The Psychodiagnostic Services Of Southern Maine was assigned its 1619136983 by the Centers for Medicare & Medicaid Services on 2008-06-03.
As of what date was the information pertaining to Psychodiagnostic Services Of Southern Maine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Psychodiagnostic Services Of Southern Maine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-03.
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