Neurobehavioral Services Of New England, Pc in Portland - Clinical Child & Adolescent

Neurobehavioral Services Of New England, Pc - NPI 1922133115

Neurobehavioral Services Of New England, Pc is a Clinical Child & Adolescent in Portland, Maine. Neurobehavioral Services Of New England, Pc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Neurobehavioral Services Of New England, Pc is 1922133115. The last update date is 2010-12-22.

Neurobehavioral Services Of New England, Pc's current location address is 335 Brighton Avenue, Portland, Maine. You can contact this provider via phone number 2076628660 and fax number 2076628492. The mailing address for Neurobehavioral Services Of New England, Pc is 335 Brighton Avenue, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Neurobehavioral Services Of New England, Pc
Address 335 Brighton Avenue, Portland, Maine
Phone Number 2076628660
Fax Number 2076628492
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Morse Allen Philip
Credentials PH.D.
Telephone Number 2076628660

NPI Number Detail

NPI Number 1922133115
Provider Enumeration Date 2007-02-21
Last Updated Date 2010-12-22

Provider Mailing Address Detail

Address 335 Brighton Avenue
City Portland
State Maine (ME)
Post Code 41022374
Phone Number 2076628660
Fax Number 2076628492

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
154880000 ME --

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FAQs about Neurobehavioral Services Of New England, Pc

What is the Neurobehavioral Services Of New England, Pc's 1922133115?

The Neurobehavioral Services Of New England, Pc's NPI (National Provider Identifier) Number is 1922133115. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Neurobehavioral Services Of New England, Pc?

The Neurobehavioral Services Of New England, Pc is physically situated at 335 Brighton Avenue, in the city of Portland, state of ME, with the postal code 41022374.

What is Neurobehavioral Services Of New England, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Neurobehavioral Services Of New England, Pc is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

On what date did the Neurobehavioral Services Of New England, Pc receive the assignment of its 1922133115 from the Centers for Medicare & Medicaid Services?

The Neurobehavioral Services Of New England, Pc was issued its 1922133115 by the Centers for Medicare & Medicaid Services on 2007-02-21.

When was the information pertaining to Neurobehavioral Services Of New England, Pc most recently updated or revised?

The details related to Neurobehavioral Services Of New England, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-22.

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