| Boston Child Study Center - Maine, P.c. | |
|
68 Commercial St Fl 2 Portland ME 04101-5089 | |
| (207) 200-7860 | |
| Not Available |
| Full Name | Boston Child Study Center - Maine, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 68 Commercial St Fl 2, Portland, Maine |
| Authorized Official Name and Position | Ryan Madigan (PRESIDENT) |
| Authorized Official Contact | 6172990228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Child Study Center - Maine, P.c. 20 Kent Ct Unit 2 Somerville MA 02143-3565 Ph: (631) 553-0662 | Boston Child Study Center - Maine, P.c. 68 Commercial St Fl 2 Portland ME 04101-5089 Ph: (207) 200-7860 |
| NPI Number | 1982283172 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982283172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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