Carly J Rodgers is a Psychologist in Portland, Maine. Carly J Rodgers practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Carly J Rodgers is 1851574768. The last update date is 2020-02-19.
Carly J Rodgers's current location address is 205 Ocean Ave, Portland, Maine. You can contact this provider via phone number 2075547906 and fax number 2077735512. The mailing address for Carly J Rodgers is 205 Ocean Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carly J Rodgers |
|---|---|
| Address | 205 Ocean Ave, Portland, Maine |
| Phone Number | 2075547906 |
| Fax Number | 2077735512 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1851574768 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2020-02-19 |
Provider Mailing Address Detail
| Address | 205 Ocean Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41035712 |
| Phone Number | 2075547906 |
| Fax Number | 2077735512 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS1555 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103850000 | ME | MAINE CARE |
Post Comment/ Review Below
What is the unique identifier code issued to Carly J Rodgers by the Centers for Medicare & Medicaid Services (CMS)?
The Carly J Rodgers has been assigned the NPI (National Provider Identifier) 1851574768. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Carly J Rodgers is geographically located?
The Carly J Rodgers is physically situated at the following location: 205 Ocean Ave, Portland, ME, 41035712.
What is Carly J Rodgers's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carly J Rodgers's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Carly J Rodgers receive its 1851574768 assignment from the Centers for Medicare & Medicaid Services?
The Carly J Rodgers was assigned its 1851574768 by the Centers for Medicare & Medicaid Services on 2007-12-13.
As of what date was the information pertaining to Carly J Rodgers, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carly J Rodgers, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-02-19.