Psychodiagnostic Services of Southern Maine
Psychodiagnostic Services of Southern Maine provides Clinical Psychologist services in Portland, Maine. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
491 Stevens AvePortland, ME 04103-2636 Not confirmed with CMS for 18 years — call before visiting
Phone: (207) 828-4026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|
Record details
| NPI number | 1619136983 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Carbone — Chief Officer · (207) 828-4026 |
| NPI enumerated | June 3, 2008 |
| Last updated in NPPES | June 3, 2008 |
| Mailing address | 491 Stevens Ave, Portland, ME 04103-2636 |
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