Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southwestern Maine Clinical Assoc PA

Organization Psychologist · NPI 1265405385

Southwestern Maine Clinical Assoc PA provides Psychologist services in Gorham, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Mechanic St
Gorham, ME 04038 Not confirmed with CMS for 18 years — call before visiting
Phone: (207) 839-2587
Fax: (207) 839-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS574 (ME)

Record details

NPI number1265405385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Kimball — Ceo · (207) 839-2587
NPI enumeratedFebruary 9, 2006
Last updated in NPPESApril 24, 2008
Mailing addressPo Box 757, Gorham, ME 04038-0757

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