Carol Lynn C Kabacoff in South Portland - Clinical Child & Adolescent
Carol Lynn C Kabacoff - NPI 1669529376
Carol Lynn C Kabacoff is a Clinical Child & Adolescent in South Portland, Maine. Carol Lynn C Kabacoff practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Carol Lynn C Kabacoff is 1669529376. The last update date is 2007-07-08.
Carol Lynn C Kabacoff's current location address is 6 D St, South Portland, Maine. You can contact this provider via phone number 2073210022 and fax number 2077677002. The mailing address for Carol Lynn C Kabacoff is 6 D St, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Lynn C Kabacoff |
|---|---|
| Address | 6 D St, South Portland, Maine |
| Phone Number | 2073210022 |
| Fax Number | 2077677002 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1669529376 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 D St |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062820 |
| Phone Number | 2073210022 |
| Fax Number | 2077677002 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS929 |
|
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 |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carol Lynn C Kabacoff by the Centers for Medicare & Medicaid Services?
The Carol Lynn C Kabacoff has been issued the NPI (National Provider Identifier) 1669529376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Carol Lynn C Kabacoff's facilities are geographically located?
The facilities of Carol Lynn C Kabacoff are physically situated at the following location: 6 D St, South Portland, ME, 41062820.
What is Carol Lynn C Kabacoff's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Lynn C Kabacoff's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669529376 to Carol Lynn C Kabacoff?
The Centers for Medicare & Medicaid Services assigned the 1669529376 to Carol Lynn C Kabacoff on 2007-01-04.
As of what date were the Carol Lynn C Kabacoff's details last updated?
The information pertaining to the Carol Lynn C Kabacoff, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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