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
Address 94 Mill St, Orono, Maine
Phone Number 2078662636
Fax Number 2076696011
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE OWNER
Authorized Official Name Beattie A. Kenneth
Credentials PH.D.
Telephone Number 2076696011

NPI Number Detail

NPI Number 1275645939
Provider Enumeration Date 2006-08-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 94 Mill St
City Orono
State Maine (ME)
Post Code 44734040
Phone Number 2078662636
Fax Number 2076696011

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Tideside Clinical & Psychological Services

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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